Bill Lewis Scholarship Application
Open until February 1, 2026. All requested information must be provided. If incomplete, your application may not be considered.
Name
First Name
Last Name
Birth Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Date of Parent's Registration as Official with NSAA (if applicable)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent's Name
First Name
Last Name
Other Parent's Name
First Name
Last Name
Parent's Home Address (If Different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What School Do You Attend?
Graduation Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
GPA
(Please give GPA on the 1 – 4.0 (+) scale – you must convert if your school uses a percentage scale.)
ACT Score
SAT Score
Where do you plan to attend college?
What is your career field?
Degree Sought
Why have you chosen this career field and why do you believe you will succeed?
Please list all additional scholarships, fellowships, grants, and other financial assistance for which you have applied and the status of said applications and amount of any awards.
Please list your involvement in NSAA sanctioned activities.
Name and Address of Your Local Paper
File Upload
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Official documentation of SAT or ACT scores and a statement of financial need.
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of
Date of Submission
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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