• Piggott Chamber of Commerce Scholarship Application Form

    The Chamber of Commerce Board of Directors prioritizes community involvement, leadership, and character, while still considering academic achievement and financial need during their selection process. Applications will be scored based on a rubric emphasizing these qualifications. To view the details of the rubric, please visit our website.
  • Format: (000) 000-0000.
  • Do you currently work?*
  • Number of hours worked per week?
  • Have you applied?*
  • Have you been accepted?*
  • Anticipated total school cost for next year?*
  • Do you plan to work while attending college?*
  • Family Household Income*
  • List your offices and/or positions of leadership held during high school (9-12 grades), including sports, clubs, and organizations:
    Rows
  • List up to 5 awards or honors you have received during your high school career. (9-12 grades)
    Rows
  • List up to 5 of your extracurricular activities, including sports, clubs, and organizations:
    Rows
  • List up to 5 of your community service activities and volunteer work during your high school career. (9-12 grade)
    Rows

  • Applicant's Declaration


    I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in the disqualification of my application.

  • Date signed
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: