Pernick Prize Application

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 *

Consent *

Yes, I agree with the terms and conditions listed below.

I, understand that to begin the process, I must submit the required documents electronically via the DPSF website by Monday, March 6, 2023: (No extensions will be granted or late submissions accepted)

Due by Monday, March 6, 2023 (Submit the Following)
Note: You must submit the following documents using the upload section below.

* Online scholarship application
* A copy of High School student ID, driver's license, State ID card or passport
* Official Transcript
* Recommendation Letter(s)
* Portfolio or collection of outstanding achievements
* In-person presentation

Acknowldgement *

I, hereby certify that the above statements are true and correct to the best of my knowledge. I understand and agree that any falsified information in this application may lead to disqualification from receipt of the Pernick Prize Award managed by the Detroit Public Schools Foundation. I further understand that if I fail to submit additional forms by the above mentioned deadlines, I will forfeit the award.

Upload file(s) *

Drag and Drop (or) Choose Files

Signature (Insert Name)

Application Submission Date *

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 *
Consent *
Yes, I agree with the terms and conditions listed below.

I, understand that to begin the process, I must submit the required documents electronically via the DPSF website by Monday, March 6, 2023: (No extensions will be granted or late submissions accepted)

Due by Monday, March 6, 2023 (Submit the Following)
Note: You must submit the following documents using the upload section below.

* Online scholarship application
* A copy of High School student ID, driver's license, State ID card or passport
* Official Transcript
* Recommendation Letter(s)
* Portfolio or collection of outstanding achievements
* In-person presentation
Acknowldgement *
I, hereby certify that the above statements are true and correct to the best of my knowledge. I understand and agree that any falsified information in this application may lead to disqualification from receipt of the Pernick Prize Award managed by the Detroit Public Schools Foundation. I further understand that if I fail to submit additional forms by the above mentioned deadlines, I will forfeit the award.
Upload file(s) *
Signature (Insert Name)
Application Submission Date *

January 03, 2023

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) *

Requirements for Pernick Prize Award *

Student Information

Parent/Caregiver Information

Counselor Information

College/University Information

The Michigan based College or University I plan to attend.

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

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) *

Requirements for Pernick Prize Award *

Student Information

Parent/Caregiver Information

Counselor Information

College/University Information

The Michigan based College or University I plan to attend.

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