SNZ Scholarship Application
Applicant's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Applicant's Email
*
example@example.com
High School
*
Grade
*
Current GPA
*
Guidance Counselor
*
Distinctions/Honors/Awards (academic/civic/government)
How did you hear about the scholarship?
*
Have you applied for other scholarships
*
Yes
No
If yes, please list all scholarships
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Recommendations
Below, please provide the names, titles/positions of the two persons you have requested to submit personal recommendations on your behalf
Person 1
Name
*
First Name
Last Name
Position:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Person 2
Name
*
First Name
Last Name
Position:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
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Volunteer Experience
List most current first
Title
Date
-
Month
-
Day
Year
Date
Organization
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Duties
Title
Date
-
Month
-
Day
Year
Date
Organization
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Duties
Total years of volunteer experience:
Please Select
0-1
1-3
3-5
5-10
List student clubs, organizations, and any extracurricular activities you are involved in.
Additional comments:
By signing below, I state that the information provided by me in this application is truthful and accurate. I understand that if I provide any misleading information for this application, my award may be forfeited if I am determined a recipient
Name (Print)
*
Signature
*
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Autobiographical Statement
Personal Essay
The screening committee seeks to know what has influenced the development of your personality and values. Describe any social, historical, or political events that are of importance to you and how they have inspired you. Finally, conclude with a statement of the goals that you intend to achieve.
Write personal essay here:
*
Statement should NOT exceed 500 words.
Submit
Submit
Should be Empty: