Pernick Prize Application | Detroit Public Schools Community District Foundation

Detroit Public Schools Foundation - Pernick Prize Award Application

Please note your application will be considered incomplete if you do not upload all the required documents at the time of submission.

Which award are you applying for? (must select one) *MathematicsMedicinePublic Service

Requirements for Pernick Prize Award *Must be enrolled in a DPSCD High School (All HS students (9-12) are welcome to apply!)Must be nominated by a DPSCD teacher, counselor, or principalMinimum 2.5 GPA; must provide a copy of transcriptStudents will be required to submit a portfolio or collection of outstanding achievements, examples include STEM coursework, interviews, recommendations, and service work that uses math, medicine or public service to address challenges within our communityStudents will showcase why they are deserving of this award through a virtual presentation to the Pernick Prize Selection Committee. Presentations should include the following:1) Exemplary progress in a math, science/ medicine, or public service program or activity 2) Successful competition in a program-related event or contest (local, regional, state, or national) 3) Showcase leadership in a related student organization through active recruitment, mentorship, or school-based contributions 4) Your goals for the future. Do you aspire to work in math, medicine or public service as a career path? How do you plan to achieve such goals? 5) How you intend to utilize the prize funds?

Student Information

First Name *

Last Name *

Date of Birth *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Email Address *

Phone *

DPSCD High School (currently enrolled) *

DPSCD Student ID# *

Parent/Caregiver Information

First Name *

Last Name *

Email Address *

Phone *

Counselor Information

First Name *

Last Name *

Email Address *

Phone *

College/University Information

The Michigan based College or University I plan to attend.

1st Choice *

2nd Choice *

Proposed Major *

The out-of-state based College or University I plan to attend?

1st Choice *

2nd Choice *

Proposed Major *

Upload file(s) *

Signature (Insert Name)

Application Submission Date *