PWL Scholarship Application Form

Dr. Phillip W. Lockhart, Sr. Foundation Scholarship Award

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Description: The Dr. Phillip W. Lockhart, Sr. Foundation scholarship shall be granted to high school graduates entering a full-time program of college study within one year from the scholarship application deadline. Scholarship funds shall be used only for college tuition, fees, room and board, books, and materials. Funds granted are noncyclic gifts to students and are not required to be repaid.

Level of Study: Associate Degree, Bachelor's Degree

Award Type: Scholarship

Award Amount: $1, 000

Quantity: 4

Deadline: March 21, 2025

Read and follow the instructions carefully prior to submitting your application. Please check www.drphilliplockhart.com for finalists updates. For questions or concerns in regards to your essay submission, feel free to contact us at pwlscholarship@gmail.com.
I. Personal Data
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Were you born outside the USA?

YesNo
If so, which country?
Do you have a disability?

YesNo
Mobile No*
Email *
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Information

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender

MaleFemalePrefer Not To SayOther
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.
College or University You Plan to Attend
Major Area of Study
If not listed, please enter below:
How many college admission applications have you completed?

12345+
How many college acceptance letters have you received?

01234+
Upload at least one college acceptance letter below.

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II. High School Information
Name of High School
Year of High School Graduation
Most Recent Cumulative GPA
List any high school or community activities, volunteer work, honors, offices held, etc. that you are a part of or have participated in.
III. ACT/SAT Information
Most Recent ACT Testing Date
Highest ACT Composite Score
Most Recent SAT Testing Date
Highest SAT Composite Score
IV. For Transfer Students Only

Students who transferred to their current high school at the beginning of or during the 24-25 school year.
Which school did you transfer from? (School Name, City, State) Provide your previous Principal's name and email.
V. Additional Information
Approximate college credit hours completed as of January 2025?
Most Recent Concurrent GPA
Have you ever received a scholarship(s)?

YesNo
If so, please list them here.
Do you plan to attend a junior college in August 2025 to obtain a two-year degree and later transfer to a university to complete a 4-year degree?

YesNo
Do you plan to attend a university in August 2025 to obtain a 4-year degree?

YesNo
VI. Essay

Please be sure to save your essay in a PDF format.
The prompts below were chosen as Dr. Lockhart was not only an advocate for quality education but was equally passionate about seeing students and adults become the best versions of themselves. As you complete this essay, please remember that our lives are bigger than ourselves and we always have the ability to make an impact.

Essay Format:
- APA style
- Times New Roman font
- A minimum of 500 words
Assignment Guidelines:

1. Choose ONE of the following prompts to write your essay:

Prompt #1: Describe the impact of an experience that has shaped your character. Be sure to use three points to expound your claim.

Prompt #2: Which character traits would you deem necessary to overcome an obstacle? Be sure to use three points to expound your claim.

Prompt #3: Describe what it means to be a student-athlete. Be sure to use three points to expound your claim.

2. Download and reference the essay rubric as much as necessary during your writing.

3. When you are done, upload your essay below.
Upload Essay Here

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VII. 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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Dr. Phillip W. Lockhart, Sr. Foundation is committed to equal opportunity in education. The organization does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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Dr. Phillip W. Lockhart, Sr. Foundation Scholarship Award

I. Personal Data

II. High School Information

III. ACT/SAT Information

IV. For Transfer Students Only

V. Additional Information

VI. Essay

VII. Applicant's E-Signature