Annual Scholarship Application
Welcome! We’re excited to learn more about you. Scholarship awards begin at $1,000 in each of the four categories. To complete your application, please have the following ready: your resume, cover letter, or transcript; at least one recommendation letter; at least 30 minutes to thoughtfully respond to the application prompts; and an optional personal introduction video (1–3 minutes).
Applicant Name
*
First Name
Last Name
Preferred Name / Pronouns
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which scholarship category are you applying for?
*
Integrity & Character
Academic Excellence
Ingenuity & Entrepreneurship
Community Engagement
Applying for All
Academic/Professional Status
*
Please Select
Current High School/GED
College Student
Recent Graduate (0-3 Years)
Emerging Professional (3-5 Years)
Mid-level Professional (5-10 Years)
Seasoned Professional (10+ Years)
GPA (if applicable)
Are you in good academic standing with your institution?
*
(If this does not apply, please type N/A)
Have you ever pled guilty to or been convicted of a felony?
*
(Answering yes will not automatically affect your eligibility; if yes, please explain)
What key experiences or moments have most influenced how you approach your work today, and how have they shaped your perspective on your career path?
*
What challenges have you faced along the way and what have you learned from those experiences?
*
Integrity & Character: Share an example of a time you demonstrated honesty, responsibility, or leadership in your community or school.
*
Academic Excellence: Describe your academic achievements, or if your achievements look different, share other ways you’ve pursued learning or intellectual growth.
*
Ingenuity & Entrepreneurship: Tell us about a project, idea, or initiative that you created. We’d love to hear about what you’ve built or contributed to in your own way.
*
Community Engagement: How do you give back or make a positive impact in your community? Include volunteer work, advocacy, or civic participation.
*
What are some of the goals or dreams you are working toward over the next 12 months?
*
What career or field are you most passionate about, and why?
*
Who do you admire in your field of interest, and what inspires you about them?
*
What talents, skills, or unique perspectives do you bring to your chosen path?
*
How do you hope to make a difference in Tampa Bay and beyond?
*
Transcript/ Resume/Cover Letter Upload (PDF or DOC, max 10MB)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Recommendation Letters (up to 3) (PDF or DOC, max 10MB)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
In 1–3 minutes, introduce yourself in your own way. You can tell a story, show a project, share a passion, perform, or use any creative approach that helps us get to know you and what makes you unique. Have fun and be yourself!
Upload a File
Drag and drop files here
Choose a file
Cancel
of
I understand that scholarship funds will only be awarded to recipients who attend CULTIVATE 2026 in person on Saturday, March 7, 2026.
*
I confirm my understanding
Signature / Typed Name (Please sign or type your full name to confirm your application)
*
Submit Application
Submit Application
Should be Empty: