Sample Scholarship Application Form

Scholarship Application Form

Application Deadline - August 30, 2024
Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 30th of August 2024.
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Optional Informations

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

MaleFemale
Are you a US citizen?

YesNo
Please check your veteran status.

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

I will graduate in May 2027I will be an incoming freshman graduating high school prior to 2024I 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 with no college credit hours
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.
Major Area of Study
Please indicate what is your major are of study
What is your career objective?

0/300
Have you submitted an application for admission?

YesNo
II. High School Information
Are you or will you be a May 2024 high school graduate?

YesNo
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. ACT Information
Year you took the ACT
ACT composite (overall) score?
ACT scores are not required for scholarship eligibility. However, providing an ACT score can increase the likelihood of your selection as compared to other candidates.
All scholarship applicants reporting an ACT score will be asked to provide official verification.
Note: If you are a 2012 high school graduate and received a composite score of 26 or higher you are eligible for an automatic one-year full tuition scholarship.
IV. For Transfer Students Only
Most recent college attended and cumulative transfer GPA
V. For Students Currently Enrolled at (School Name)
Approximate credit hours completed by May 2024
Current GPA
School activities, honors, offices held, etc.
Do you plan to transfer to another college and complete a 4-year degree?

YesNo
Do you have a disability?

YesNo
Are you a GED recipient?

YesNo
Are you interested and willing to major in Science, Technology, Engineering (Pre-Engingeering) or Math?

YesNo
Were you born outside the USA?

YesNo
If so, which country?
Were your parents born outside the USA?

YesNo
If so, which country?
Will you be working?

Full-timePart-time
VII. Essay
Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay

0/500
VIII. 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

I. Personal Data

II. High School Information

III. ACT Information

IV. For Transfer Students Only

V. For Students Currently Enrolled at (School Name)

VII. Essay

VIII. Applicant's E-Signature