Georgia FCCLA Scholarship Application

Georgia FCCLA Scholarship Application

Deadline to Submit: January 25th, 2025
Which FCCLA scholarship(s) are you applying for?*

Abraham Baldwin Agriculture College ScholarshipAllen-Childs ScholarshipAtlanta Farmers Club ScholarshipFrances King ScholarshipGeorgia Association of Family and Consumer Sciences ScholarshipMurray-Barber-Lewis ScholarshipJanette McGarrity-Barber ScholarshipMiQuan Green Next Young Leader ScholarshipMytrice Edenfield ScholarshipUniversity of Georgia College of Family and Consumer Sciences Scholarship
Scholarship Applicant's Name*

First NameLast Name
Scholarship Applicant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Scholarship Applicant's Phone Number*
Please enter a valid phone number.
Scholarship Applicant's Email*
Do not use your school email.
Scholarship Applicant's Headshot (JPEG and PNG Only)*

This will be used in our program and social media promotion for our Georgia FCCLA Scholarships.
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Chapter / School Name*
No abbreviations
Chapter Adviser's Name*

First NameLast Name
Chapter Adviser's Email*
example@example.com
Georgia FCCLA Region *
Scholarship Applicant's FCCLA Membership ID Number
This can be found in the National FCCLA Portal.
Attach a copy of your unofficial transcript. *

Official transcript must be mailed to the State Office by the scholarship deadline.
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Planned Post-Secondary Institution *
Where are you planning to attend college/university?
Acceptance Date

MonthDayYear
Date
Enrollment Date

MonthDayYear
Date
What area of Family and Consumer Sciences to you plan on majoring in?*
Why do you plan on making Family and Consumer Sciences your career choice?*
Upload a list of ways you demonstrated ability to accept responsibility in other school activities and in your community.*

Word Document or PDF.
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Upload a list of ways you have assumed responsibility at home.*

Word Document or PDF.
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Upload your yearly summary of your Family and Consumer Sciences/FCCLA involvement, activities, leadership and accomplishments. Include classes taken, offices held, Power of One projects completed, STAR Events, leadership activities and conferences attended.*

Word Document or PDF.
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Upload a copy of your college acceptance letter.*

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Additional item for the MiQuan Green Next Young Leader Scholarship

If you are applying for the MiQuan Green Next Young Leader Scholarship, please complete this additional section.

If you are not applying for the MiQuan Green Next Young Leader Scholarship, skip this section and move to the confirmation signature.
Link a video of you explaining how you have assumed leadership in your home, school, and/or community (3 minutes max)
YouTube/Cloud Service (Must be Public Viewing Link)
I understand that I must have three (3) recommendations (one each from my Family and Consumer Sciences teacher, a school official and a community leader) uploaded by those individuals by the scholarship deadline.

I also understand that an official copy of my transcript must be postmarked to the Georgia FCCLA state office by the scholarship deadline.

I have read all policies and qualifications for these scholarships and understand that any changes that occur in my plans must be reported to the state office.

Changes in schools, majors and entry dates may result in the loss of scholarship funds if not submitted and approved by the state office.
By signing below, I certify that all information on this form is true and accurate. *

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