LGSSF 2026 Application

Lafayette Gatling, Sr. Scholarship Fund

10133 S. Halsted Street

Chicago, IL 60628

773.797.7775

info@lgssf.org

www.lgssf.org
Scholarship Application Form

Application Deadline - April 1, 2026
Read and follow the instructions carefully prior to submitting your application. All awardees will be notified on or before the 30th of May 2026.
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
Are you related to any of the LGSSF Board Members?

YesNo
Is you expected high school graduation year 2026?

YesNo
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.
Parent/Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
II. High School Information
High School Attended
Current GPA
High School activities, community activities, volunteer work, honors, offices held
III. University, College or Trade
I will be attending the following school in the Fall of 2026:
I will be entering the above mentioned school as a:

FreshmanSophomoreJuniorSeniorOther
What will be your specialty or major?

List Expenses you expect to incur per semester*

	Amount
Tuition Amount
Books
Room & Board
Other Expenses

Please provide a description of the other expenses needed

List other financial assistance you will receive per semester. (This will not affect your scholarship eligibility)

	Amount
Personal
Other Scholarships
Grants
Student Loans
Other Financial Resources

Please provide a description of the personal loans, grants or financial assistance you will receive.
IV. Essay, Personal Statements, Recommendations & Proof of Acceptance
Personal Essay (Must be 250 words, typed and double spaced.) What are your educational and professional goals and objectives?

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1st Letter of recommendation

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2nd Letter of recommendation

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High School Transcripts

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Proof of college acceptance or current enrollment

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As part of the application, students will submit a 3–5 minute video introduction. This is your opportunity to tell us about yourself—your interests and hobbies, your family dynamic, and the goals and aspirations that shape your future. Please submit videos via email info@lgssf.org be sure to include your name in the subject line.
V. 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.

I consent to my image being used in media to promote the foundation's scholarship fund.

I understand that if chosen as a scholarship recipient, according to the Lafayette Gatling, Sr. Scholarship Fund, I must provide evidence of enrollment/registration at the post-secondary institution of my choice before the scholarship funds can be awarded.

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.
Student Signature

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Scholarship Application Form

I. Personal Data

II. High School Information

III. University, College or Trade

IV. Essay, Personal Statements, Recommendations & Proof of Acceptance

V. Applicant's E-Signature