Ozetta Mason Pilot Legacy Scholarship
2025 Scholarship Application
Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Please enter a valid phone number.
Email
*
example@example.com
What high school are you currently attending and date of graduation?
*
What College are you attending in the Fall of 2025?
*
What will be your college major?
Please describe your community service in 100 words or less.
*
0/100
Why do you believe you should receive this scholarship?
*
Upload verification letter from community service organization (Must be on letterhead, signed and dated)
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