2025 Scholarship Program Applications
Please complete every section of the application. DEADLINE: Wednesday, April 30, 2025 at 11:59pm
Scholarship Rules & Eligibility Requirements
Pink Rocki Advocacy Foundation
The Robert Agus Scholarship
Michael Watson Music Scholarship
Please select the scholarship you are applying for.
Pink Rocki Advocacy Foundation
The Robert Agus Scholarship
The Michael Watson Scholarship
Student Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Preferred pronouns to be used in press releases and marketing should you be selected for a scholarship.
He/Him
She/Her
They
Other
Parent/Guardian Information
If under the age of 18, a parent/guardian will also be notified via email.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Parent/Guardian notifications
*
Please include my parent/guardian on all communications.
Please do NOT include my parent/guardian on all communications.
School Details
Name of highschool
*
Culmative grade point average
*
Transcript
*
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Choose a file
Please upload a transcript from your most recently completed semester. A copy of the transcript is acceptable.*
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Name of university/college you plan to attend
*
What is your intended major?
*
University/College Acceptance Letter
*
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Choose a file
Please upload your college/university acceptance letter
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Scholarship Essay Submission
Please submit a 500-1,000 word essay responding to the essay prompt that correlates with the scholarship you're applying to. Please be sure to include the word count at the top of your essay.
*
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Please be sure to review the scholarship rules to ensure you're responding to the correct essay prompt.
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References
Name
*
First Name
Last Name
Email
*
example@example.com
Name
*
First Name
Last Name
Email
*
example@example.com
Letter of Recommendation
File Upload
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Upload at least 1 letter of recommendation from someone, not related to you, who may be contacted regarding your academic achievements, community service and college readiness.
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By checking the box, you affirm all information provided in this application is truthful and accurate. You also give permission for Pink Rocki Advocacy Foundation to use your photograph and information provided in this application for potential publication and recognition should you be selected to recieve a scholarship.
Affirmation
*
I have read and understand the above statement.
Scholarship Rules
By signing, you, the applicant, have affirmatively reviewed, accepted, and agreed to all of the scholarship rules for either the Pink Rocki Advocacy Foundation Scholarship and/or The Robert Agus Scholarship.
Signature
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