Boost Scholarship Application

Boost Scholarship Application

Complete this form to apply for the Boost scholarship and share your outdoor recreation experiences and goals.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
School Name
Current Grade (K-12)
Are you a resident of the Potomac, Ovando, Seeley Lake, or Condon area?
Please describe the role outdoor recreation plays in your life and how you plan to continue participating in or supporting outdoor recreation in the future. (max 500 words)
Please state the amount and purpose of the funds you are requesting. (max 500 words)
Please describe any relevant volunteer experience, etc. that you would like ROCKS to consider (optional)
Letter of Recommendation (Upload PDF, DOC, or image file)

Cancelof
I certify that the information provided in this application is true and complete to the best of my knowledge.
Applicant Signature
Date

MonthDayYear
Date
May we use your name and photo for scholarship recognition (e.g., website, newsletter, or social media)?
Should be Empty: