Homeschool Group Scholarship Application

Homeschool Group Scholarship Application
Student 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
Have you submitted an application before?

Yes No
If yes, when was it?

Month Day Year
Date
Have you applied for any other scholarships?

Yes No
List of Applications *
Do you have a relationship with anyone affiliated to the School?

Yes No
List all of the names *
School Information
Schools Attended *
List any academic honors, awards and membership activities received *
Have you completed any community service activities?

Yes No
List any community services attended *
Cover Letter
In 300 - 500 words, state why do you need the scholarship and what are your goals
*
I hereby certify that all information are correct and to the best of my knowledge. I will also submit all the documents that will be asked from me for the application purposes.
Name & Signature *

Clear
Date

Month Day Year
Date
Should be Empty:

School Information