$2,500 Dottie Bishop Head Start Kid Scholarship
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
High School Name
*
College Career Counselor's Name
*
First Name
Last Name
College Career Counselor's Email
*
example@example.com
College Career Counselor's Phone Number
*
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
A copy of the student’s transcript must be included with the application.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Student must submit two letters of recommendation from teachers or counselors.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
The applicant must be a senior who is scheduled to graduate from high school in Wichita, El Dorado or Augusta, Kansas, be pursuing a post-secondary education (including trade school), and submit proof of acceptance from an institution of higher learning.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please list your nonacademic or extracurricular activities here:
*
The applicant must have attended a Head Start/Early Head Start program for one or more years. Which location did you attend?
*
Applicant must include an essay that addresses key details about you, your family and your connection to Head Start as well as your goals for the future, post-secondary education and what you plan to study. Essay should be a maximum of 1,000 words. (PDF only)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform