Sample Scholarship Application Form

LEADERSHIP Scholarship Application Form

Application Deadline - July 25, 2025
Read and follow the instructions carefully before submitting your application. All winners will be notified on or before August 3, 2025.
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
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
Optional Information

Information regarding gender, ethnic origin, and race is optional. The information is requested for post-scholarship report generation only and does not affect your selection for college scholarship awards.
Gender

MaleFemale
Are you a US citizen?

YesNo
Please check your status at the time of application.

I will be an incoming freshman graduating high school by June 2025I have attended college and have less than 32 college credit hoursI have attended college but have 32 or more college credit hours
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.
Major Area of Study
Please indicate what is your major are of study
What is your career objective?

0/300
Have you submitted an application for admission?

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

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 or SAT Information
Year you took the ACT or SAT
ACT or SAT 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 will be asked to provide official verification for ACT and SAT scores and GPAs.
Most recent college attended and cumulative transfer GPA
V. For Students Currently Enrolled in College
Approximate credit hours completed by August 2025
Current GPA
School activities, honors, offices held, etc.
VI. Extras
Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Do you plan to complete a two-year degree?

YesNo
Do you plan to complete a four-year degree?

YesNo
Do you plan to complete an advanced degree (masters, doctorate)?

YesNo
Will you be working while attending college?*

YesNo
If so, will you work

Full-timePart-time
VII. Essay
Please include a written essay and/or video essay on Leadership. Your written essay should be 300-500 words. You should address in your essay: "What is Leadership, Why It Matters, and What You Have Done to Demonstrate It." Please also include your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration. Your (optional) video essay must be a 3 to 5-minute video (as an attachment), discussing "What is Leadership to You, Why It Matters to You, and How You Have Demonstrated It."
Essay

0/500
VIII. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
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LEADERSHIP Scholarship Application Form

I. Personal Data

II. High School Information

III. ACT or SAT Information

V. For Students Currently Enrolled in College

VI. Extras

VII. Essay

VIII. Applicant's E-Signature