BWN 2023 Scholarship Application

1. Please provide your name and contact information.

Applicant's Name*

First NameLast Name

Applicant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant's Email*

example@example.com

Applicant's Phone Number*

Please enter a valid phone number.

2. Applicant's Date of Birth*

Date

3. Where did you complete your high school diploma or equivalency credetntials (Such as GED Test, National External Diploma Program, etc.)

Name of Program*

City and State of Program*

Year of graduation or completion*

4. Tell us about the school or training program that you are attending or plan to attend.

Name of school or training program*

Address of school or training program*

Web address of school or training program*

Course of study*

When did you start, or when do you plan to start?*

5. Financial Information

Annual household income*

Number of dependents including yourself*

How many people under age 18 live in your household?*

6. Do you want to share other information about your financial need with the scholarship committee?

If so, please comment here (limit to 150 words).

0/150

7. Please specify what you need scholarship funding for:

TuitionFeesBooksProgram-related supplies, such as uniform or toolsGraduate research expenses (only applicable to applicants pursuing degrees beyond a bachelors.

8. If you are selected to receive a BWN Scholarship, would you be able to attend and say a few works at the Awards Luncheon on Wednesday, June 21, 2023 from 11:30 am to 1:30 pm to accept your award?*

Yes, I will commit to attending the awards luncheon on Wednesday, June 21, 2023No, I cannot attend the luncheonNot sure, I do not yet know my schedule

9. Please describe an activity (work, school, community) where you demonstrated leadership and commitment: (limit 250 words)*

0/0250

10. Please describe your professional five-year goal and how you plan to achieve it: (Limit 250 words)*

0/0250

11. Resume. Upload your resume as a PDF or MS Word Document.*

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Give the names and contact information for two people who will provide professional references for you for this scholarship. We encourage you to ask employers, supervisors, teachers, counselors, and others who have observed your work in an academic, professional, or volunteer setting. Do not use family members as references. Before listing your references, get their permission and let them know that they will receive an email from bwn.hoco.scholarship@gmail.com with a private link to provide their reference. Make sure that you provide the correct contact information for each referenc.

Name of first reference*

First NameLast Name

Email of first reference*

example@example.com

Phone Number of first reference*

Please enter a valid phone number.

Name of second reference*

First NameLast Name

Email of second reference*

example@example.com

Phone Number of second reference*

Please enter a valid phone number.

Before submitting your application, make sure you have:

• Answered all required questions including the short essay questions

• Uploaded your resume

• Provided two (2) professional references and their contact information so we can contact them. Don't forget to double check their contact information.

We will receive an automatic acknowledgment that we have received your application. If you do not receive an acknowledgment within two hours, email us at bwn.hoco.scholarship@gmail.com or cmcampbell@goldappleservices.com

Recipients will be notified in early June.

Thank you for applying.

Please verify that you are human*