2026 CAMELBACK MEMORIAL FUND SCHOLARSHIP APPLICATION

2026 SCHOLARSHIP APPLICATION
Section 1: Student Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Zip Code
Phone Number*
Email Address*
example@example.com
Current School*
Counselor Name*
High School Graduation Year*
Cumulative High School GPA*
Other Scholarships or Aid Received*
Section 2: Student Background
Preferred Field of Study for post-secondary education*
High school courses or A.P. courses relevant to field of study*
Describe relevant work experience, school activities, or community service*
Please provide three (3) personal references (teachers, employers, community members, etc):
First & Last Name*
Email*
example@example.com
Phone#*
First & Last Name*
Email*
example@example.com
Phone#*
First & Last Name*
Email*
example@example.com
Phone#*
Which AZ university, community college, or trade school do you plan to attend*
Any other items about you that you think we should know*
Section 3: Written Portion
What difference will this scholarship make in your life or your pursuit of higher education?*
Thinking about your future self: What vision do you have of yourself 1 year from now? What vision do you have of yourself 4 years from now? What vision do you have of yourself post college? Family, career, community, etc.*
In the area provided below, please upload the following documentation:
- Parents' 2025 1040 Federal Tax Return
- High School Transcripts
- FAFSA Form
- FASA Index Number
- Award Package
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2026 SCHOLARSHIP APPLICATION

Section 1: Student Information

Section 2: Student Background

Section 3: Written Portion