2023 Scholarship Application Form

Town of Surf City

214 W. Florence Way Surf City, NC 28443

clerk@surfcitync.gov

www.surfcitync.gov

(910) 328-4131
Birthdate*

MonthDayYear
Scholarship Application Form

Application Deadline - May 31, 2023
You are applying to receive a $2,000 scholarship from the Town of Surf City. Read and follow the instructions carefully prior to submitting your application. All applicants will be notified on or before the 15th of June, 2023.
If selected, you may be asked for supporting documentation. Likewise, all correspondence and award agreements will be generated from the information submitted below.
Stephanie *
Phone*
Email *
Home Address*

Street Address

Mailing Address

CityState / Province

Postal / Zip Code
***You must be a resident of the Town of Surf City to qualify.***
Gender

MaleFemalePrefer not to answer
Please check your veteran status.

VeteranChild of a VeteranSpouse of a VeteranNone of the Above
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.
Please check your status at the time of application.

I will graduate in Spring 2023I will be an incoming freshman graduating high school prior to 2023I have attended college but have less than 32 college credit hoursI have attended college but have at least 32 or more college credit hoursI am a GED graduate
Are you Interested in Pursuing a Career in Local Government?

0/300
Government Area of Interest

Not InterestedAdministrationCommunity DevelopmentParks & RecreationPublic UtilitiesFacilities & GroundsEmergency Services & First RespondersFinanceTransportationHuman Resources
What is your career objective (any field)?

0/300
Have you submitted an application to a school for admission?

YesNoCurrent Student
II. High School Information
Are you or will you be a May 2023 high school graduate?

YesNoAlready Graduated
High School Attended
Year of High School Graduation or GED
Most recent cumulative GPA
High School activities, community activities, volunteer work, honors, offices held
III. For Students Currently Enrolled In College
Approximate credit hours completed by May 2023
Current GPA
School activities, honors, offices held, etc.
IV. Extras
The Town of Surf City will award a scholarship designed to offer aid to students who reside in Surf City, with additional preference given to those who have interest in pursuing a career in local government.
Have you received any other scholarships?

YesNo
Do you plan to complete an associates, bachelors, masters or doctorate degree?

AssociatesBachelorsMastersDoctorate
If pursuing a career in local government, would you like to be considered for an internship (non-paid)?

YesNo
Have you or has anyone in your family worked for the Town of Surf City?

YesNo
V. Additional Information
Use this space to provide additional information you want us to know that make you uniquely worthy of scholarship consideration.
Essay

0/500
VI. Applicant's E-Signature
By signing 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.
Signature

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Scholarship Application Form

II. High School Information

III. For Students Currently Enrolled In College

IV. Extras

V. Additional Information

VI. Applicant's E-Signature