Harrison High School Local Scholarship Application 2023

Harrison High School Scholarship Application

Due: February 10, 2023
I. Personal Data

Tell us about yourself
Full Name*

PrefixFirst NameMiddle NameLast NameSuffix
Social Security Number :*
(e.g. 123456789)
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:

MaleFemale
Are you a US citizen?*

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
Are you a first generation college student ?*

Yes, I am the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
Major Area of Study:*
Please indicate what is your major are of study
What is your Career Objective:*

0/300
Have you submitted an application for admission to a four year or two year college?*

YesNo
II. High School Information
Most recent cumulative GPA:*
List All AP Courses Completed or in progress:
List All Concurrent College Courses Completed or in progress:
III. ACT Information
Highest ACT Composite score
Month
Year
VI. Extras:
Have you completed your FASFA at fasfa.ed.gov*

YesNoWorking on it but have not submittedNeed help completing it
Do you have a super score of 19 on the ACT?*

YesNoNo, but retaking it
If attending an Arkansas College/University & have the 19 ACT superscore, have you completed the Youniversal Scholarship or Academic Challenge Scholarship? (adhe.edu for applying)

YesNoNo and I need help
Colleges applied to?
College 1
Name of Institution
Estimated Tuition
Books/Fees approximately
Room and Board if living oncampus
College 2
Estimated Tuition
Books/Fees approximately
Room and Board if living oncampus
Where will you be living in college?*

On CampusOff CampusWith family
Have you received a scholarship from the college/university you plan to attend?*

YesNo
Do you plan to complete your two-year degree with (School Name)?*

YesNoNo, plan to complete 4 year degree here.
Do you plan to transfer to another college and complete a 4-year degree?*

YesNoN/A (This is a 4 year degree program)
Are you an Eagle Scout?*

YesNo
Do you have a disability?

YesNo
References

You may use two school references and one from the community (i.e. employer, family friend, or church official)

My References*

	Reference 1	Reference 2	Reference 3
First & Last Name
Phone Number
Email Address
Address
Relationship

VII. Essay - Please copy and paste or attach a file.

Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay:

0/500
Essay Upload

Browse Files

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Resume Upload

Browse Files

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VIII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Should be Empty:

Harrison High School Scholarship Application

I. Personal Data

II. High School Information

III. ACT Information

VI. Extras:

Colleges applied to?

References

VII. Essay - Please copy and paste or attach a file.

VIII. Applicant's E-Signature