Together We Rise - Emmetsburg Scholarship
Together We Rise is committed to supporting students in Palo Alto County as they pursue post-secondary education and personal growth.
Applicant Information
Full Name:
Date of Birth:
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Month
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Day
Year
Date
Phone Number:
Email Address:
example@example.com
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Educational Information
High School / Most Recent School Attended:
Graduation Year (or Expected):
Post-Secondary Institution You Plan to Attend or Are Attending:
Type of Institution:
College / University
Trade / Technical School
Other Post-Secondary Program
Intended Major / Program of Study (if known):
Expected Start Term:
Fall
Spring
Summer
Other
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Personal Impact Statement
Describe something that has significantly impacted your life and how it has shaped who you are today. Explain how this experience has influenced your educational goals, resilience, or future plans.
(Attach additional pages if necessary)
Certification & Signature
I certify that all information provided in this application is true and accurate to the best of my knowledge. I understand that providing false information may result in disqualification from the scholarship.
Applicant Signature:
Date:
-
Month
-
Day
Year
Date
Submission Instructions
Please submit the completed application along with all required documentation by the posted deadline.
Submission Method:
Submission Method Options
Email (togetherwerisepac1@gmail.com
Online Form
Mail: Together We Rise, 1805 Huron St., Emmetsburg, IA 50536
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