Scholarship Application Form

Scholarship Application Form

Please fill out the form below to apply for the scholarship.
Welcome to the The Foundation for the Continuation of Children's Mentoring Connection scholarship application form. This scholarship is open to high school seniors who have participated in our mentoring programs, either as a mentee or as a high school mentor.

Please complete all sections of this form and provide the required documents by March 15, 2025.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth*

MonthDayYear
Date
Social Security Number
Gender*
US Citizen*
Current School*
Current Grade/Year of Study*
GPA (Grade Point Average)*
High School Graduation Date: *
School Address: Street, City, State, Zip Code*
Education Goals and Interests
Discuss your educational and career goals. Please include how you chose the school you will be attending and plan to complete degree/certificate. You can complete online or attach a separate document with the information.*
Optional upload: Discuss your educational and career goals.*

Cancelof
Activites and Work Experience
School/Extracurricular Activities*
Community and Church Activities*
Work Experience*
Other Activities*
File Upload: Upload a personal statement sharing how your your mentoring experience has affected your life. *

Cancelof
References

Please attach 2 letters of recommendations from the following individuals. 1. Teacher/representative from high school 2. A non-relative adult. Additionally, ask your CMC Case Manger to complete a 3rd letter of recommendation.
Reference 1 Name*
Reference 1 Contact Information*
Reference 2 Name*
Reference 2 Contact Information*
Upload 2 letters of recommendation*

Cancelof
Upload school transcript*

Cancelof
Applications are due March 15, 2025.
Date blanks
Signature

Powered by Jotform SignClear
Should be Empty:

Scholarship Application Form

References