Donaghey Scholars General Data Sheet

Please complete all of the fields. Any questions may be sent to dsp@ualr.edu.

Application deadline is February 15, 2024 at 11:59 pm CST.

Name*
First Last
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are either of your parents college graduates?*
- Yes
- No
Are you an international student?*
- Yes
- No
Phone*
*If you are international and have a FaceTime number, please enter here. You may enter 555-555-5555 if you do not have one.
Your T-number, if known:
Date of birth*
MM slash DD slash YYYY
High School attended*
High school GPA

GPA will be confirmed with transcripts. Fall transcripts will be required.
Most Recent College Attended, if applicable
College GPA, if applicable
ACT/SAT score*

ACT or SAT is required for admission to the Donaghey Scholars Honors Program. Scores will be verified.
AP Tests and scores
Please list any AP Tests taken and resulting score. Additional rows may be added using the + symbol.
Test Name Score
Intended Major (or area of interest)*
Where did you first hear of us?
- Letter
- Email
- College Fair
- Classroom visit
- College Counselor or teacher (specify who below)
- Personal or family friend (specify who below)
- UA Little Rock recruiter
- Alumni or current scholar (specify who below)
- Social Media
- ScholarshipUniverse
- Other (specify below)
Other/Specify who

Test Name	Score