College Scholarship Application

Brevard federated republican women College Scholarship Application

Application Deadline - April 18, 2025
Read and follow the instructions carefully prior to submitting your application.

Please submit Required documents to:

Dr. Dixie Riepl, BFRW Scholarship Chair

160 Sagecrest Circle, #103

West melbourne, FL 32904

All winners will be notified on or before the 30th of May 2025.
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
Are you a US citizen?*

YesNo
Please check your veteran status.*

Child of a VeteranGrandchild of a VeteranNone of the Above
Please check your status at the time of application.*

I will graduate in May 2025I will be an incoming freshman graduating high school prior to 2025I have attended college
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.
Are you interested in the following majors?*

Political ScienceGovernmentPublic PoliciesLawOther
What is your career objective?*

0/300
II. High School Information
High School Attended*
Year of High School Graduation or GED*
Most recent cumulative GPA*
High School activities, community activities, volunteer work, honors, offices held*

0/300
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.
VI. Extras
Do you have a disability?*

YesNo
Are you a GED recipient?*

YesNo
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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Brevard federated republican women College Scholarship Application

I. Personal Data

II. High School Information

III. ACT Information

VI. Extras

VII. Essay

VIII. Applicant's E-Signature