Scholarship Application Form
Applications must be submitted by April 30, 2026
Step 1 of 4 - Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Your pronouns
*
Please Select
she/her/hers
he/him/his
they/them/theirs
other
prefer not to state
Your ethnicity
This field is optional
Step 2 of 4 - Academic Information
Where do you currently go to high school?
*
Current high school address
*
High school graduation date
*
-
Month
-
Day
Year
Date
Current unweighted GPA
*
Is your GPA weighted or unweighted?
*
Weighted
Unweighted
What college/university do you plan on attending?
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Step 3 of 4 - Tell Us About Yourself
Please address the following information in 200 words or less per response.
What are your goals? These can be educational, professional, and/or personal.
*
0/200
What you do outside of school? (e.g., community service, religious activities, hobbies)
*
0/200
Honors, awards, or recognitions. Brag a little about yourself!
*
0/200
Why is pursuing a college education important to you?
*
0/200
What else would you like us to know or consider?
*
0/200
What other scholarships have you already received? What is the dollar amount for other scholarships received?
*
0/200
What do you intend to use the money for?
*
0/200
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Step 4 of 4 - Document Upload
Upload a copy of your school transcripts as a PDF. Transcripts can also be emailed to info@wrbsrscholarshipfund.org (note: if you make it to the final round, an official copy from your school will be required)
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Upload your first letter of recommendation as a PDF. Letters can also be emailed to info@wrbsrscholarshipfund.org
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Provide the name and email address for the author of letter of recommendation #1
*
Upload your second letter of recommendation as a PDF. Letters can also be emailed to info@wrbsrscholarshipfund.org
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Provide the name and email address for the author of letter of recommendation #2
*
Upload the SAI (Student Aid Index) portion of your Student Aid Report (FAFSA) as a JPG, PNG or PDF screenshot
(What is SAI?)
*
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Upload a copy of your resumé as a PDF (optional)
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NOTE:
Applicants will only hear back if they are selected as award recipients.
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