Scholarship Application Form

College Scholarship Application Form
Instructions
1. Applicant must submit a letter (no more than two pages) describing his/her educational goals providing relevant information to the Scholarship Committee.
2. Applicant must provide a copy of official transcripts to the Scholarship Committee. If the applicant has not attended college or is in the first semester of attendance, official high school transcripts are required.
3. Applicant must submit at least two letters of reference, one of which must come from a professor or teacher.
4. The scholarship committee reserves the right to ask the applicant for additional information.
5. False information provided by the applicant will result in the disapproval of the application and/or termination of the scholarship with a legal action by the Scholarship Committee to reclaim any money previously awarded.
6. Information omitted by the applicant which is relevant to the requirements of the schilarship shall be considered to be falsely presented, and thus will result in termination and possible legal action.
7. Submit the form to the Scholarship Committee.
Applicant Information
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Are you blind or visually impaired *
Education Plans
Name of College *
Major (if any)
Completed Credit Hours *
Planned Courses *
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in the disapproval or termination of scholarship.
Type Signature Here: *
Date *

Month Day Year
Date
Should be Empty:

College Scholarship Application Form

Instructions

Applicant Information

Education Plans

Disclaimer and Signature