Trotwood Madison High School Graduation Award Application Form

Travel Award Application Form

Please complete all sections to apply for the program. Ensure you upload all required documents and provide accurate information.
Applicant's Full Name

First NameLast Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Applicant's Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant's Email Address
example@example.com
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
Relationship to the Applicant
Is this your Emergency Contact?
Expected Graduation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Average GPA (Verifiable by Trotwood Madison High School Official)
Essay Prompt Selection: Please Select and provide a response to 1.
Prompt Response Upload (PDF or Google Doc, 400–650 words)

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Post-Graduation Plan (1 Page Summary)

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Parent/Guardian Consent Form Upload Link:https://docs.google.com/document/d/1Ani7JybmEExTbZEBxuqr3afdd4lojwk2Su4p7aXV3I0/edit?usp=sharing

Link Here: Download the signed form and attach here https://docs.google.com/document/d/1Ani7JybmEExTbZEBxuqr3afdd4lojwk2Su4p7aXV3I0/edit?usp=sharing
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Have you completed the following required actions?
Photo/Video Release Consent
Agreement to Participate in Post-Trip Recap (Short Interview, Testimonial, etc.)
Applicant's Signature
Should be Empty:

Travel Award Application Form