Scholarship Application Form

Educational Information
Highest Level of Education Completed*

High SchoolHigh School Equivalent (GED)Associates Degree4-Year DegreeGraduate Degree
Name of High School Attended*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated*
Date Expected to Graduate*

MonthDayYear
Date
If you have a GED Certificate for High School Equivalency, please provide the information below:
Year you received your GED*
Academic awards and/or honors you received in High School
Are you a member of any organization in your school? Please provide information or type N/A*
Are you a member of any organization outside your school? Please provide information or type N/A*

Community Engagement Information
Please list any volunteer experience*
How many hours of volunteer experience?*
Employment History (if any) including job position*
Average number of hours worked per week*
Any additional community service or support for your family (please provide as much detail as possible)?*

Schools of interest

This can be a college, university or vocational school
Name of institution*
First choice
Name of institution*
Second choice
Name of institution*
Third choice
Are you currently enrolled or accepted at this institution?*

YesNo
If yes, please list date of initial enrollment and date of anticipated graduation*
What certificate or degree are you pursuing?*
What is the length of time required to achieve that certificate or degree?*

Application Letter

Please submit a letter (no more than 500 words) outlining the following:
- Who you are
- Why you are applying for the scholarship
- The institution to which you are applying
- The degree or certificate you are pursuing
- Why you are pursuing your chosen degree or certificate
- What you plan to do with this degree or certificate
Please add any additional information by providing links in the letter or uploading additional documents such as an art portfolio or videos. You may also email larger files to us scholarships@acmesmokedfishfoundation.org

Max upload limit is 10 MB
Upload*

Nomination Letter

Please submit a nomination letter (no more than 500 words).
Have someone (family member, teacher, employer, mentor, friend, neighbor etc.) tell us about you! Ask them to submit a letter in support of your application that includes information on your background, educational goals and any other information they'd like to share about you. This can be uploaded below or emailed directly to us (they must include your full name in the letter) to scholarships@acmesmokedfishfoundation.org The letter cannot be from an Acme employee.

Max upload limit is 10 MB
Upload*

Signature Page
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE DENIAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature*

Clear
Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
THANK YOU FOR APPLYING AND GOOD LUCK!
Should be Empty:

Apply anytime. Awards are made in August for the fall semester.