Sample Scholarship Application Form

HSA Scholarship Application Form
Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before the 27th of March 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
Parent/Guardian*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
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
Current School*
GPA (Attach a copy of the most recent report card/transcript)*

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Academic Honors/Awards:
Are you currently receiving any other scholarships or financial aid? (Yes/No)If yes, please explain:
Optional Informations

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for HSA scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to athletes meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender

MaleFemale
Are you a US citizen?

YesNo
Please check your veteran status.

VeteranChild of a VeteranGrandchild of a VeteranSpouse of a VeteranNone of the Above
Primary Sport(s)
Position(s) Played
Years of Experience in Sport(s)
Current Team/Club:
Athletic Achievements/Honors:
Do you plan to pursue athletics at the collegiate level? (Yes/No)
If yes, what are your goals for college athletics?
Does your family qualify for free or reduced lunch? (Yes/No)
Household Annual Income: (Optional)
Please describe why you need financial assistance for HSA programs:
Please attach two letters of recommendation from individuals who can speak to your character, academic performance, and athletic abilities (e.g., coach, teacher, mentor).*

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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.
Have you submitted an application for admission?

YesNo
II. High School Information
Are you or will you be a May 2025 high school graduate?

YesNo
May 2025 high school graduates are eligible for consideration for summer scholarships in addition to fall-spring awards. Accepting a summer award obligates you to attend in the following fall and spring.
Would you like to be considered for a summer award?

YesNo
High School Attended
Year of High School Graduation or GED
Most recent cumulative GPA
High School activities, community activities, volunteer work, honors, offices held
III. ACT Information
Year you took the ACT
ACT composite (overall) score?
ACT scores are not required for scholarship eligibility. However, providing an ACT score can increase the likelihood of your selection as compared to other candidates.
All scholarship applicants reporting an ACT score will be asked to provide official verification.
VII. Essay
Personal Statement (Attach a separate page if needed) In 250-500 words, explain:Why do you want to be a part of Harmony Sports Academy? How has sports positively impacted your life?How will receiving this scholarship help you achieve your academic and athletic goals?
Essay

0/500
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VIII. Applicant's E-Signature
By signing below, I certify that the information provided is true and complete. I understand that providing false information may result in disqualification from the scholarship program.
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HSA Scholarship Application Form

I. Personal Data

II. High School Information

III. ACT Information

VII. Essay

VIII. Applicant's E-Signature