2021 Boral Scholarship Program

Boral North America Scholarship Application
Applicant Name: *

First Name Middle Name (optional) Last Name
Contact Information: *

Email Address Phone Number Alternate Phone Number
Birthdate *
ex. 01/01/2020
Number of Siblings *
Older/Same *
Younger *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent One Name *
Parent One Occupation *
Parent One's Employer *
Parent One Employer City *
Parent One Employer State *
Parent Two Name *
Parent Two Occupation *
Parent Two's Employer *
Parent Two Employer City *
Parent Two Employer State *
Are you a step child to a Boral Employee? (If yes, your biological parent will need to complete a statement regarding how they will contribute to college expenses in one of the following screens.) *

Yes No
AWARDS *
Special Awards received or won during high school
Extra curricular activities during high school *
Community Organization of which you are/were a member. *
Offices Held *
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

Goals *
What are your goals in life?
Hobbies *
What are you hobbies?
Employment *
Finances
How Have you helped earn your own expense money? *
How do you expect to finance your college education *
List any financial aid or scholarships you have received *
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

References
List the names of people (other than relatives) who can speak of your character, social life, and personality please include the name of your high school counselor *
The above information is accurate to the best of my knowledge and belief and I authorize Boral and its agents to utilize this information and make any inquiries it deems necessary to verify or explain this information.
Employee Signature *

Clear
Date *

Month Day Year
Date
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

Financial Information
Name of Student Applicant *

First Name Last Name
Date *

Month Day Year
Date
Name of Employee/Parent *

First Name Last Name
Years of Employment with Boral *
Current Position *

Income: List total family before taxes from all sources from the previous year. (wages, dividends, interests, etc.) *

Father's income

Mother's income

Other income

Total Family income

Financial Statement: *

Value today

Owed today

Cash, savings, and checking account

Home (if renting, indicate "0")

Other real estate and investments

Business or farm

Other assets/liabilities

Total Value
Total owed
Net Worth
Family Responsibilities: List information regarding all children and other dependents In parents' household. For family members not enrolled in college, give name and age only. *

Colleges to which applicant intends to apply: (or will definitely attend) *

Name of College/Univ

Year in School

Tuition & Fees

Room & Board

Other Expenses

Total of Row One
Total of Row Two
Total of Row Three
Total of Row Four
Total of Row Five
Other Information: Add any commentary you wish to supply (outstanding medical or other family expenses, martial status...) *
The above information is accurate to the best of my knowledge. I authorize Boral and its agents to utilize this information and make any inquieries it deems necessary to verify or explain this information.
Parent signature *

Clear
Date *

Month Day Year
Date
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

If you are a step-child of a Boral employee, please provide a statement signed by both your step-parent and biological parent indicating if biological parent will contribute to college expenses. Please include the amount of contribution and any other support provided. *
The above information is accurate to the best of my knowledge and belief and I authorize Boral and its agents to utilize this information and make any inquiries it deems necessary to verify or explain this information.
Employee Signature *

Clear
Date *

Month Day Year
Date
Biological Parent Signature *

Clear
Date *

Month Day Year
Date
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

If you have already typed up both essays and want to submit them. Choose yes and you will be given an upload option. If you have NOT already done both essays, choose NO and click Next to be directed to the essay questions. *

Yes No
Upload Essays *

Cancel of
Please Upload Highschool transcript. *

Cancel of
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

Essay #1: Field Of Study
In one to two paragraphs explain what you plan to study/major in, why you chose this field, and what you hope to achieve by studying this area: *
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

Essay #2: Special Attribute or Accomplishment
In one to two paragraphs tell us about a special attribute or accomplishment that set you apart from other applicants. *
The Guidelines for the Scholarship Program may be requested by calling the
HR Service Center at 1-877-812-6613.

2021 Boral Scholarship Program

Application Checklist
Use the checklist below to ensure that your application is complete prior to sending it to the Boral Scholarship Committee. Your application will not be processed and you will not be eligible if any part of the applications is not returned by the deadline of March 5, 2021 *

Completed Application with the signature of your parent who is the Boral employee Completed Financial Information Form with the signature of your parent who is the Boral employee If you are the step-child of a Boral employee, make sure you have entered a statement signed by both your step-parent who is the Boral employee and the other parent indicating if biological parent will contribute to the college expenses. This should include the amount of contribution and any other income provided by him/her. Current High School Transcript to include first semester senior year grades, SAT/ACT Scores and class rank/class size. One or two paragraph essay explaining what you plan to study/major in, why you chose this field, and what you hope to achieve by studying this area. One or two paragraph essay discussing a special attribute or accomplishment that sets you apart from other applicants.
By Signing below, you are confirming that all items listed above are accurate and complete.
Signature *

Clear
Date *

Month Day Year
Date
Completed application must be recieved by the Boral Scholorship Committee on or before March 12, 2021

If you have additional questions, please email:

scholarship@boral.com
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Boral North America Scholarship Application

Finances

References

Financial Information

Essay #1: Field Of Study

Essay #2: Special Attribute or Accomplishment

2021 Boral Scholarship Program