Scholarship Application Form

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

I. Personal Data:

Optional Informations :

Information regarding gender, ethnic origin and nationality 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.)

II. High School Information:

III. LYS (ACT) Information:

Please fill the information regarding to your test scores below.

- Test scores are not required for scholarship eligibility. However, providing a score can increase the likelihood of your selection as compared to other candidates.

- All scholarship applicants reporting an ACT score will be asked to provide official verification.

IV. For Transfer Students Only:

V. For Students Currently Enrolled at (School Name) :

VI. Extras:

Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.

VII. 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.

VIII. Applicant's E-Signature

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

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