Alumni Scholarship Application Form

Breakthrough Alumni Achievement Scholarship Application

Please complete the form below to apply for the 2024 Alumni Scholarship.
Breakthrough seeks 2024 graduating high school seniors as well as current college students who have participated in Breakthrough Youth programs for more than four years to apply for the Breakthrough Alumni Achievement Scholarship
Award Benefits:

Awards range from 1k-3k for tuition, room and board (may be renewable)
Full Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
High School Attended
Graduation Date
College attended (or anticipated)
City & State
Academic Major
Acceptance Letter

Cancelof
Essay (300 words)- Describe how you've been involved with Breakthrough over the years
Should be Empty:

Breakthrough Alumni Achievement Scholarship Application