The Hardeeville Future Leaders Scholarship Application Form

The Hardeeville Future Leaders Scholarship

Application Form
Name

First NameMiddle NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Cell Phone Number
Please enter a valid 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
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated
Ranking in Graduation Class
Grade Point Average (GPA)
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
Are you a member of any organization outside your school? Please provide information
Do you plan to attend a college or university in the fall?
Have you applied and been accepted to a college or university in the fall?
What is the name of the college or university you plan to attend in fall?
Please upload a copy of your college or university acceptance letter.

Cancelof

Financial Information
Are you a dependent of your Parents?
Your Family's Joint Annual Income
Are you working? If yes, please provide details below
Have you applied for any other scholarships ?
Have you been notified of any additional scholarships being awarded ?
If you have been notified of any additional scholarships being awarded, please list the name of the scholarship and the amount awarded.
Have you tried applying for financial aid?
Please explain how serving on the City of Hardeeville Youth Council has best prepared you to attend the college or university of your choice. (1000 words or less)

0/1000

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:

The Hardeeville Future Leaders Scholarship