The information provided on this form will be used to select recipients for scholarships. It is important that you give complete details concerning your career plans, and any current or future ambition to give back to the community.

(You will have opportunities to upload references letters and additional documentation at the end of the form.)

(You can change your mind later if desired.)

In order of preference, list the major(s) you are considering (Very important for scholarship eligibility).

(optional scholarship identification for specific scholarships)

Please list one educator and at least one community person who would recommend you for a scholarship. Please do not list the person who completes a scholarship recommendation for you.

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.