Warisha Memorial Scholarship Form

WARISHA MEMORIAL Scholarship Application Form

Application Deadline - Rolling
Read and follow the instructions carefully prior to submitting your application. All recipients will be notified on or before the end of the year.
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
Demographic Information
Gender*

MaleFemaleOther
Are you a US citizen?*

YesNo
Parent/Guardian Annual Income.*

<50,00050,000-100,000100,000-150,000150,000-200,000200,000+
Please check your status at the time of application.*

I will be an incoming college freshman in Spring 2025I am currently enrolled at a community/junior college with anticipation of transferringI am currently enrolled at a four-year university pursuing my undergraduate degreeOther
Name of Institution currently attending/planning on attending*
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
II. High School Information
High School Attended*
Year of High School Graduation*
Most recent cumulative GPA*
High School activities, community activities, volunteer work, honors, offices held*
III. Test Scores
ACT Score
optional
SAT Score
optional
IV. For Transfer Students Only
College attended prior to transfer
Transfer GPA
V. For Students Currently Enrolled
Approximate credit hours completed
Current GPA
School activities, honors, offices held, etc.
VI. Extras
Do you have a disability?

YesNo
Were you born outside the USA?*

YesNo
If yes, which country?
Will you be working while attending university?*

YesNoUnsure
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. If you have faced challenges that have made obtaining an education difficult please address them here.
Essay*

0/500
Extra Information
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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WARISHA MEMORIAL Scholarship Application Form

I. Personal Data

II. High School Information

III. Test Scores

IV. For Transfer Students Only

V. For Students Currently Enrolled

VI. Extras

VII. Essay

VIII. Applicant's E-Signature