4150 Lafayette Center Drive Suite 600 Chantilly Va 20151 Phone: (703)-222-8700

Diversified Laboratories Scholarship Programs

   Instructions for online application:

    Please use the Google Chrome web browser.  The application is a Google Form, and it is viewed best with        Google Chrome.   You must log into a Gmail account.  If you do not have a Gmail account, you can sign up for a free one here:Get Gmail

   The application will provide the option to "save" to continue later throughout the sections.

This option will take you to a Submit Screen.  Be sure to select "Send me a copy of my responses"

You will receive an email to your gmail account that will show the completed information.  It will provide an “Edit Response” button so you can access your application for completion at a later time.