Student Profile Questionnaire

STUDENT PROFILE QUESTIONNAIRE

Doyon Foundation is excited to celebrate your achievements and support your educational journey! Your profile may be featured in our annual shareholder report, on our social media platforms, or in our e-newsletter. We also highlight student profiles on the Foundation’s blog at www.doyonfoundationblog.com.

To help us create an accurate and meaningful profile, please complete this form as thoroughly as you’d like. Participation is voluntary, and you can skip any questions you prefer not to answer.

There are "save" buttons available at the top and bottom of this questionnaire. It's available if you need to save your progress and come back to the form later to complete it. IMPORTANT: If you want to save your responses and return later, you must create an account BEFORE you begin completing the form. The "create account" is a simple process.

If you have questions, please call us at 907-459-2048 or toll free at 1-888-478-4755.

Save & Return

Save your progress and complete this form later. (optional)

First Name

Last Name

Street Address

Address Line 2

City

State/Province/Region

Zip/Postal Code

Phone Number (Include Area Code)

Email Address

Once you submit your form, you will get a copy of what you entered emailed to you automatically. Sometimes these emails end up in a spam folder, so check there if you don't see it in your inbox.

What's your home town and state?

Please list the names of your parents and where they are from (optional).

0/200 words

Please list the names of your maternal grandparents and where they are from (optional).

0/200 words

Please list the names of your paternal grandparents and where they are from (optional).

0/200 words

SCHOOL AND EDUCATION INFORMATION

Which of the following best describes you?

I am currently enrolled in college/university	I have graduated with a degree from a college or university	I am currently enrolled in a vocational school or training program
I am a graduate from a vocational school or training program	I am a high school student enrolled in courses that provide college/university credits	Other Other

When did you graduate or
when do you expect to graduate?

What school/institution?

What degree or program? (Click ? Box for an Example) 🛈

Why did you choose this major/field of study?

0/200 words

What do you find most interesting or unique about your field of study?

0/200 words

What are your plans for the next 3 to 6 months?

0/200 words

What are your long-term plans for the future?

0/200 words

Which scholarship(s) did you receive?

0/200 characters

How did Doyon Foundation help you advance your education? 🛈

0/200 words

What has been the biggest challenge you have faced during your education,
and what did you do (or are doing) to overcome this challenge?

0/200 words

Other than education, what are some of the other activities you are involved
in (jobs, hobbies, community service, volunteer work, etc.)?

0/200 words

Please share any advice or "tips for success" that you are willing to have us
share with other students.

0/300 words

Please upload a color photograph of yourself. 🛈

Is there anything else you would like to share?

0/750 characters

By signing this Release and Consent Form, I give my consent to the Doyon Foundation to use my name,
photograph or image and, if applicable, student information in materials including, but not limited to:

• Publicity materials
• Multimedia and online programs
• Newsletters

By signing this Release and Consent Form, I also release the Doyon Foundation from:

1. Any claim I might have against it, resulting from the use of my name, photograph or image and student
information, including for example, any claim based on defamation, slander, libel, or invasion of privacy.

2. Any claim against Doyon Foundation, its affiliated companies, businesses and assignees, or any of
their respective advertisers, clients or agencies, from any claim I might have against any of them from
the use of my name, photograph or image and/or student information.

3. Any claim I may have against the individual directors, officers, employees or agents of the Doyon
Foundation on any basis whatsoever.

I acknowledge that:

• I will receive no money or other compensation for giving this Release and Consent, which is a condition
of my eligibility to be considered for scholarships, grants or to participate in activities or programs
offered by Doyon Foundation.

• I am an adult, 18 years or older (if under 18, please also have legal guardian sign).

• I have read and understand this Release and Consent form.

• The Release and Consent Form will be in effect during the application, activity or program for which I
am being considered and for five (5) years after the date I sign it. To revoke this Release and Consent,
I must provide a written statement that the Form I signed is no longer in effect and my name,
photograph or image and student information may not be shared with any other party.

My name, photograph or image and student information will not be released by Doyon Foundation to any
anyone, other than myself, including my parents or family members, schools or training facilities, financial aid programs, agencies, etc., unless I execute this Release and Consent Form. This Release and Consent Form must be submitted with each application I make for a scholarship, grant or to participate in any activity or program offered by Doyon Foundation.

Signature *

clear

Date signed: * +

Save & Return

Save your progress and complete this form later. (optional)