College Scholarship Application Form

United Welding Institute Scholarship
Name

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Information
Name of High School Attended
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated
Ranking in Graduation Class
Latest GWA Percentile
Date Expected to Graduate

MonthDayYear
Date
Academic awards and/or honors you received in High School
Are you a member of any organization in your school? Please provide information
If you have a GED Certificate for High School Equivalency, please provide the information below:
Date received GED Certification

MonthDayYear
Date
Upload here your GED information

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Are you a member of any organization outside your school? Please provide information
If you are a transferree from another college or university, please fill out the fields below:
Name of College Last Attended
Academic Year Last Attended
Please provide any academic achievements or awards you have received in College (if there is any)

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature
Name of Applicant

First NameLast Name
Date Signed by Applicant

MonthDayYear
Date
Should be Empty:

United Welding Institute Scholarship