Online Scholarship Entry Form

Scholarship Entry Form

Thank you for entering to win our $100 cash scholarship prize. Please read through the instructions below before submitting the form. The winner will be notified on or before Friday, May 29th.

Eligibility requirements: Class of 2020 high school graduates who will be attending a 4-year college/university, 2-year community college, or trade school for the Fall of 2020.

Deadline: Deadline for application is Tuesday, May 26th

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Date of Birth*

Date

E-mail*

High School Name*

School Attending in Fall 2020*

Cumulative GPA*

High School Activities*

Community Service*

Please review the application before submitting it. By submitting the application below, you are certifying that you are the person completing the application, that you meet all eligibility requirements, and that all the information is correct. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain the verification of your application.