Scholarship Program Application

Scholarship Program Application

Please make sure that you carefully read the instructions as outlined above before submitting your application. Incomplete submissions will not be provided to the Scholarship Committee for consideration.
Applicant Information
Applicant Name:*

First NameMiddle NameLast Name
Permanent Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:*
Please enter a valid phone number.
Cell Phone:*
Please enter a valid phone number.
Email Address:*
example@example.com
Date of Birth:*

MonthDayYear
Date
Education Information
High School Name and City, State:*
High School Graduation Date:*
Universities or colleges attended, if any (please list names and dates, enter N/A if none):*
Proposed Place of Study Name, City, State, and Zip Code:*
Proposed degree(s):*
Have you been accepted:*

YesNoUnknown at this time
Anticipated time for attainment of degree(s):*
Financial Information
Anticipated expenses per academic year:
Tuition Tuition* Housing Housing* Books and supplies Books and supplies* Other Other*
Do you expect income from other sources such as scholarships, loans, parents, or other?*

YesNo
Please explain or give details:
Do you expect to be employed while attending school?*

YesNo
Please explain or give details:
Attachment Upload

Please carefully read instructions above for each document before submitting.
Current High School and/or College Transcripts*

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Essay*

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Letters of Recommendation (Optional ONLY for previously awarded applicants.)

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Letters of Recommendation Contact Information:

Contact #1
First Name*   Last Name*    Position*     Street Address*   Address Line 2*   City*   State*   Zip*

Contact #2
First Name*   Last Name*     Position*      Street Address*   Address Line 2*   City*   State*   Zip*
How did you hear about HBGFC's Scholarship Program?*
Review and Submit

Please review all of the information in this form before submission. Incomplete applications will not be considered by the Scholarship Committee.
The above information is true and accurate:*

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Scholarship Program Application

Applicant Information

Education Information

Financial Information

Attachment Upload

Review and Submit