WHSF Application Form

1. Personal

Tell us about yourself
Scholarship Application
First Name
Last Name
Birth Date

MonthDayYear
Phone Number
Format: (000) 000-0000.
Personal Email
Use a personal email, not a school or work email
Home Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
2. Family & Household

Tell us about the people in your home and family. Include parents, guardians, or caregivers, and your brothers and sisters. Share only what you are comfortable with.
Parents, Guardians & Caregivers
Mother – Jane Smith – Registered nurse
Father – John Smith – Retired
Grandmother (caregiver) – Mary Smith – HomemakerList each adult who raised or supports you (mother, father, stepparent, grandparent, guardian, or other caregiver). For each person, give their relationship to you and their occupation. If someone is retired, disabled, or not working outside the home, say so.
Siblings
Emily – 19 – Sophomore at Texas Tech
Jacob – 12 – 7th gradeList your brothers and sisters (including step, half, and foster siblings). Give each one’s first name, age, and what they are doing now (school grade, college, working, etc.). Write “None” if you have no siblings.
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Siblings
3. High School Education & Scholarships

Tell us about your high school information. Provide your SAT/ACT score if required by any of your college choices.
High School
Most recent GPA
2.5+ Required
SAT/ACT Required
SAT Score
If required by your college. Upload copy below
ACT Score
If required by your college. Upload copy below
SAT/ACT Scores

If required by college
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First generation college student?
Scholarships Already Awarded
Scholarships you have been offered or have already received. Include the name of the scholarship, the amount, and whether it is a one-time or yearly award. Write “None” if you have not received any.
Scholarships Applied For (Pending)
Scholarships you have applied for but have not heard back about yet. Include the name and the amount, if known. Write “None” if you have not applied for others.
4. College & Career Plans

Tell us about your plans after high school. If you are still deciding, share what you know so far.
List each college, university, or trade/technical school you have applied to. If you have been accepted or have decided where you plan to attend, note that next to the name. Write “Not yet applied” if you have not applied anywhere.
Colleges you have applied to
Planned Major of Field of Study
The subject you plan to study. “Undecided” is an acceptable answer.
Career Objective

The kind of work you hope to do after college. A sentence or two is enough.0/300

5. Paid Employment

Tell us about any paid jobs you have now or have had in the past. Unpaid volunteer work goes in Section 7. Ensure information is accurate as it will be verified by WHSF
Provide details for your current formal, paid employment, with special emphasis on any year-round work commitments. Do not include volunteer positions or unpaid work (such as HOSA or community service). Please document all unpaid service roles in the dedicated Volunteer section below.
Current Employer
Date Hired
Hours
Typical Amount of Hours Worked per Week
Responsibilities
Briefly describe what you do in this job
Other Paid Employment
Smith's Hardware – Cashier – June 2025 to August 2025
Lawn care (self-employed) – Mowing – Summers 2023-2024List any other paid jobs you have held, including past jobs and seasonal or summer work. For each one, give the employer name, your job title, and the approximate dates. Write “None” if there are no others.
6. References
- A minimum of one Letter of Reference is required from a high school teacher. The form must be submitted by the teacher by the application deadline.
- A minimum one completed Personal Rating Form is required from a different teacher, a counselor, or community member.
- A WHSF member will interview your employer.
Note: Upon submission of the application, you will receive two emails containing links to the Letter of Reference and Personal Rating Forms.
List your References
7. Extracurricular Activities & Service
Awards, Honors & Competitions
Recognition you earned: academic or athletic awards, honor societies, contests, and competitions (e.g., Science Fair, Beta Club, All-District). Include the year and the level (school, district, state, national). Scholarships go in Section 3.
Clubs, Sports & Organizations
Groups you took part in: school or community clubs, sports teams, band, choir, theater, student government, church or youth groups, and similar. Include your role (member, captain, officer) and the years you took part.
Volunteer & Community Service
Unpaid service to others: tutoring, food banks, church or nonprofit work, community cleanups, hospital or shelter volunteering. Include the organization and approximate hours or years.

8. Personal Evaluation
Key Work Takeaways
What have you personally gained from your work experience? Share a skill, lesson, or change in how you see yourself. (150 words max)
9. Essay
Personal Essay

Use this space to tell us about yourself in your own words. You may write about your background, your goals, what this scholarship would mean to you, or anything else you would like us to know. (600 words max)0/600
Please upload a clear, high-quality headshot with good lighting so we have your materials ready for display if you are awarded a scholarship.
Photo Upload
High School Transcript

Please upload your most recent official or unofficial high school transcript
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10. Verification and Signature
By submitting this application, I certify that all information is true and complete. I agree to provide proof of any statement if requested by the committee. I understand that I will receive an email confirmation with a PDF copy of my application upon submission, which I should retain for my records.

If selected as a scholarship recipient, I agree to attend the Foundation’s award ceremony on May 6, 2027.
Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit year

Academic Year
Application Year
Initial Rating
Status-New
New Applicant Status
Status-Lifecycle
Student Overall Standing
Status-Semester
Student's Current Semester/Term Status
Award Year
Assigned Board Member Notes
Financial Need Score
Employment Score
Academic Performance Score
Personal Essay Score
Letter of Recommendation Score
Community Involvement Score
Personal Score
Accomplishments Score
Goals Score
NoReply Email
Student Name (L/F)
Cutoff Date
Student Name (F/L)
Award Year Numeric
Used in a calculate field condition-do not delete
Should be Empty:

1. Personal

Scholarship Application

2. Family & Household

3. High School Education & Scholarships

4. College & Career Plans

5. Paid Employment

6. References

7. Extracurricular Activities & Service

8. Personal Evaluation

9. Essay

10. Verification and Signature