Western Agency 2025 Scholarship Application
Please fill out the following form to be considered for one of Western Agency's $500 scholarships. To be eligible, you must be a 2025 high school graduate attending a full-time educational institution. Please send any questions to mail@western-agency.com.
Section 1: Personal Information
1. What is your full name?
2. What is your home address?
3. What is your email address?
example@example.com
4. What is your phone number?
-
Area Code
Phone Number
5. List your parent/guardian(s) name(s) and address(s).
6. What school you will be receiving your diploma from?
7. Who is your guidance counselor?
8. Please provide your guidance counselor's email address.
example@example.com
9. What is your current GPA?
10. Upload a current, informal transcript. (Accepted documents will include screenshots from school sponsored transcript programs, emails with guidance counselors, and copies of formal transcripts, etc.)
Browse Files
Cancel
of
11. Please list your ACT/SAT scores.
12. Upload an ACT/SAT score confirmation document. (Accepted documents will include screenshots from school sponsored transcript programs, emails with guidance counselors, copies of formal transcripts, etc.)
Browse Files
Cancel
of
13. What institution do you plan on attending to further your education?
14. Attach a confirmation of acceptance document. (Acceptable documents include emails from an official institution email address, copies of acceptance letters, proof of enrollment, etc.)
Browse Files
Cancel
of
15. When do you plan on starting your advanced degree?
EX: Fall 2025
Back
Next
Section 2: Essays
Please answer the following questions to the best of your ability. Word counts are provided to act as guidelines. Answers above or below the suggested word counts will be accepted. Upload a file of your answers once completed.
1. Describe your involvement in school organizations, school/club sports, and the local community throughout your high school experience in about 100 words.
2. Write a brief 200-word outline of your background including any challenges you have experienced or may still be experiencing.
3. Please describe your intended course of study and your plans following graduation from a post-secondary educational institution.
Upload a file containing your answers to the previously listed essay questions (#1 - #3).
Browse Files
Cancel
of
Preview PDF
Submit
Should be Empty: