CLD Emerging Scholars Application

Congratulations Senior CLD Alumni! You have completed all of the necessary requirements to move forward in CLD’s Emerging Scholars Application Process. Please review all of the following information below before starting your electronic application.

Application Submission Checklist (in PDF format only)

All items listed above are required (in PDF only) and must be titled with student’s name and document (i.e. John Smith-Resume)

Items not uploaded with the Emerging Scholars Application Form may be emailed to [email protected]

EMERGING SCHOLARS APPLICATIONS DEADLINE – MONDAY, DECEMBER 7, 2026 AT 11:59PM. NO EXCEPTIONS.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

STUDENT INFORMATION

All sections of the application MUST be completed. Omissions in any section will result in disqualification of the application.
Student Name*
Student Gender*
Student Date of Birth*
Student Ethnicity*

Student Email*
Student Address*
Please provide the best phone number to reach the student with important scholarship application information.
T-Shirt Size (Adult Sizes)

STUDENT/PARTICIPANT SCHOOL INFORMATION

Please provide the complete school name (no acronyms) i.e. Warren Central High School not WCHS
Current Grade*
Must be a graduating senior to qualify for this program.
Is the student a 21st Century Scholar?*
Does the student have an Individual Education Plan (IEP) or 504 Plan?
Is the GPA weighted or unweighted?*
Check below if your school does not provide/utilize a class rank:
If you have taken the SAT multiple times, provide your highest score. If you have not taken the SAT, and do not intend to take the SAT, please state “Not Applicable.”
If you have taken the ACT multiple times, provide your highest score. If you have not taken the ACT, and do not intend to take the ACT, please state “Not Applicable.”
Test N/A
Guidance Counselor Name:*

IMPORTANT!

This CLD Emerging Scholars Application does not qualify as your admissions application to any of the below selected schools – YOU MUST APPLY DIRECTLY TO EACH SCHOOL THROUGH THEIR ADMISSIONS PROCESS.
First Choice
Second Choice
Third Choice
Do you plan on playing or participating in COLLEGE ATHLETICS at a college or university?*

SUPPPORTIVE ADULT INFORMATION

Supportive Adult Name*
The supportive adult is the individual who will be primarily responsible for receiving pertinent information.
If supportive adult is a CLD alumna
Supportive Adult Date of Birth*
Supportive Adult Email*
Relationship to student?*
Address*
Are you, the supportive adult, a CLD Alumni? (graduate of CLD's Self-Discovery program)
Student lives with (choose one)*

SUPPORTING DOCUMENTS

Emerging Scholars Scholarship Application may be submitted without Supporting Documents. Supporting documents may be emailed to [email protected]. Please include student name and document type in the subject (i.e. John Smith Resume). THE APPLICATION PACKET IS NOT COMPLETE UNTIL ALL SUPPORTING DOCUMENTS ARE RECEIVED BY CLD. DOCUMENTS NOT RECEIVED BY THE DECEMBER 8, 2025 (11:59 PM) DEADLINE WILL RESULT IN DISQUALIFICATION FOR SCHOLARSHIPS.

NOTE: Attachments will not save if you choose to "save and continue later." Please upload documents when ready to submit or email to [email protected].
Please upload al documents as PDF Files. Must include original signature from a school official and/or school seal/stamp. Transcripts emailed from high school official or Parchment Digital Credential Service will also be received by CLD. Transcripts can be emailed to [email protected] or mailed to Temeka Lomax, Center for Leadership Development, 2425 Dr. Martin Luther King Jr. Street, Indianapolis, IN 46208.
Max. file size: 20 MB.
Max. file size: 20 MB.
Max. file size: 20 MB.
Max. file size: 20 MB.

STUDENT CONSENT

Student Electronic Signature*
Date Application Signed*

SUPPORTIVE ADULT CONSENT

Supportive Adult Electronic Signature*
Date Application Signed*