TILLY Scholarship Application TILLY Scholarship Application Name * Name First Name First Name Last Name Last Name High School * La FolletteMadison EastMadison WestOregonSun Prairie EastSun Prairie WestVel Phillips MemorialVerona Area Preferred Email * Phone * AVID Teacher * How many years have you been in AVID? * First Choice College/University * If you were to receive the TILLY scholarship, would this change your first choice school? If yes, what would it change to? * What other colleges/universities are you applying to? * Activities, Responsibilities, and Leadership: * 0 of 500 max characters Essay #1: Tell us why you want to go to college. * 0 of 2500 max characters Essay #2: Describe a situation where you have acted as a leader. 0 of 2500 max characters Essay #3: As a leader, what is a change you want to make in your community or in the world? * 0 of 2500 max characters Please provide information below about the two people writing your letters of recommendation. They will receive an email with a link to submit their letter. Letters of recommendation should be submitted by the adult, not by the student. Academic Reference Name * Academic Reference Name First Name First Name Last Name Last Name Academic letter of recommendation - Reference Email 1 * Community Reference Name * Community Reference Name First Name First Name Last Name Last Name Community letter of recommendation - Reference Email 2 * I certify that I have reviewed the eligibility criteria for this scholarship, and I attest that I meet these criteria. Confirm * I am a high school senior attending a school in Dane County. I am enrolled in the AVID Elective Class. If awarded this scholarship, I plan to attend an accredited four-year university in Fall 2027. I understand that my application materials may be reviewed by the TILLY Scholarship Selection Committee, Boys & Girls Clubs of Dane county staff and board members, and the donors of the scholarship fund. Signature * signature keyboard Clear Submit If you are human, leave this field blank.
