SCHOLARSHIP APPLICATION

If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

Student Information

First name

Last name

Birthday

Address

Phone

Email

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)

Gender

Male

Female

Race

Are you a first generation college student?

Yes

No

School Details

Name of university or college you plan to attend.

What is your intended major?

Have you been accepted?

Yes

No

Academics

High School Attending

Year of High School Graduation

Class Rank

Cumulative GPA

ACT/SAT Score

Have you completed any community service activities?

Yes

No

High School activities, community activities, volunteer work, honors, offices held

Have you applied for any other scholarships?

Yes

No

Essay

Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.

Essay

I certify that all information is correct and that I am the person completing this application.