Welcome to the Tanya Clavey Memorial Foundation's Scholarship Application
To be considered you must submit all required information by the application due date. Incomplete applications will be disqualified. Fill the information as applicable.
Back
Next
Save
Biographical Information
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Name of Parent or Guardian
*
First Name
Last Name
Back
Next
Save
Educational Background
High School
*
High School Graduation Date
*
-
Month
-
Day
Year
Date
GPA
*
Rank
SAT/ACT Scores
*
Please list other scholarships you have received and the amounts
*
Extracurricular & Community Involvement(Include community organizations or projects, activities or events that you have been an active participant. Include leadership positions that you hold or have held).
*
Provide a statement not exceeding one (1) page but no less than 500 words explaining why you should receive this scholarship(You may include plans for continuing your education, academic and career goals, personal circumstances, etc.)
Browse Files
Cancel
of
Letter of Recommendation(Please submit one letter of recommendation from a teacher, counselor, or community leader with your application. The letter of recommendation should come from an individual who is personally acquainted with your character, potential, motivation, academic performance and is willing to provide you with a strong recommendation.)
Browse Files
Cancel
of
Additional InformationPlease feel free to provide any additional information that will help us to in our decision making or the importance of this scholarship in helping you toward reaching your educational goals.
Back
Next
Save
Reference One
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Reference Two
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Back
Next
Save
Signature
Signature of Applicant* You the applicant are certifying that the GPR, Rank, and SAT/ACT scores are accurate as listed on the application or the official transcript and all the information you provided is true and correct.
Signature
Save
Submit
Print Form
Should be Empty: