2025A Scholarship Application Form

2025 Scholarship Application Form

Application Deadline - March 17, 2025
Complete all sections and do not leave any blank spaces. Before submitting the application, you may print a copy for your records. Please submit as soon as possible but no later than March 17, 2025.
Please attach a current wallet size photo.*

Browse Files

Cancelof
Read and Understand the instructions.*

Yes, I have
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
Birth Date:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:*

MaleFemale
List the educational institution and address (College, University, Technical or Specialty School) that you plan to attend after graduation. *
What is your anticipated enrollment date?*
Have you submitted an application for admission?*

YesNo
Anticipated Major?*
What is your Career Objective:*

0/300
II. High School Information:
Are you or will you be a May 2025 Carver High School graduate?*

YesNo
If you answered no, please explain:
Most recent cumulative GPA: (Official Transcript required)*
III. School Activities And Interests:
High School activities (Indicate year(s) participated. List the Organization, Position Held, Date of Involvement and Description of Responsibilities:*
High School honors, academic/sports awards received (Indicate year received). List the Organization, Activity, Date of Involvement and describe how you participated:*
High School offices held (Indicate year and position):*
Volunteer/Community activities (9th - 12th grade) List the Organization, Activity, Date of Involvement, and describe how you participated:*
IV. References:
Please provide us with the name, number and email address of three(3) references. One from a Teacher.*
Please provide us with the name, number and email address of a Counselor.*
Please provide us with the name, number and email address of a Community Service Representative.*
V. Essay:

Leadership Qualities and Attributes for Success. Must be typed in the space provided. 250 word minimum, 500 word maximum
Essay: Describe at least three qualities and/or attributes of Dr. S.P. Charleston that you possess. Which of these qualities and/or attributes motivates you and have contributed most to your success in your school and community, and will influence your future endeavors?*

0/500
VI. Applicant's E-Signature
By signing (typing your legal name) in 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.
E-Signature:*
Should be Empty:

2025 Scholarship Application Form

I. Personal Data:

II. High School Information:

III. School Activities And Interests:

IV. References:

V. Essay:

VI. Applicant's E-Signature