Western Agency 2026 Scholarship Application

Western Agency 2026 Scholarship Application

Please fill out the following form to be considered for one of Western Agency's $500 scholarships. To be eligible, you must be a 2026 high school graduate from a school affiliated with Western Agency and attending a full-time educational institution in Fall 2026. You must answer all questions to be considered. Please send any questions to mail@western-agency.com.
Personal Information
What is your full name?*

First NameLast Name
What is your mailing address?*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What is the best email to reach you at? (no school emails, please)*
example@example.com
What is the best phone number to reach you at?*
Please enter a valid phone number.Format: (000) 000-0000.
Academic Information
What high school are you receiving your diploma from?*
What is your guidance counselor's name?*
What is your guidance counselor's email address?*
example@example.com
What is your current GPA?*
Please upload a copy of your transcript (can be formal or informal).*

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What is your ACT/SAT score?*
Please upload a copy of your ACT/SAT score (can be formal or informal).*

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What academic institution are you planning to attend in Fall 2026?*
Please upload a copy of your acceptance letter to this institution.*

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Please upload a current photo of yourself. (JPG or PNG files preferred)

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Yes, I uploaded my photo optionNo, I did not upload a photo option
Essays

Please answer the following questions to the best of your ability. Word counts are provided to act as guidelines. Answers above or below the suggested word counts will be accepted. You may type your answers in the provided text boxes OR upload an external document with your answers. You do not need to do both.
Write a brief 200-word outline of your background including any challenges you have experienced or may still be experiencing.
Describe your involvement in school organizations, school/club sports, and the local community throughout your high school experience in about 100 words.
Please describe your intended course of study and your plans following graduation from a post-secondary educational institution.
If you answered questions 16-18 on a separate document, you can upload that here. If you answered in the test boxes provided, please disregard this question.

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Western Agency 2026 Scholarship Application

Personal Information

Academic Information

Essays