Danny J. Petersen Memorial Scholarship

Read and follow the instructions carefully prior to submitting your application. Recipents will be notified on or before May 1st if they have been selected for the Danny J. Petersen Memorial Scholarship.
Scholarship Application Form

Application Deadline - April 15th
Yes, I have
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.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
YesNo
Child of a VeteranGrandchild of a VeteranNone of the Above
I will graduate in MayI have attended college but have less than 32 college credit hoursI have attended college but have at least 32 or more college credit hours
Yes, I am the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
Major Area of Study:
Please indicate what is your major are of study
What is your Career Objective:
II. High School Information:
High School Attended:
Most recent cumulative GPA:
High School activities, community activities, volunteer work, honors, offices held:*
III. ACT Information:
ACT composite (overall) score?
School activities, honors, offices held, etc.:
VI. Extras:
YesNo
YesNo
YesNo
YesNo
Full-timePart-time
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.
Essay:

0/500
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.
VIII. Applicant's E-Signature
E-Signature:*
Should be Empty:

Scholarship Application Form

I. Personal Data:

II. High School Information:

III. ACT Information:

VI. Extras:

VII. Essay

VIII. Applicant's E-Signature