Sample Scholarship Application Form

Christian Brothers Network Scholarship Application Form

Application Deadline - April 1, 2020
Read and follow the instructions carefully prior to submitting your application. All winners will be notified on or before May 1, 2020.
Read and Understand the instructions. *

Yes, I have
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name *

First Name Last Name
Birthdate: *

Month Day Year
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to

Home Address : *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Gender: *

Male Female
Status at the time of application: *

I will graduate in May 2020 I will be an incoming freshman graduating high school prior to 2020 I have attended college but have less than 32 college credit hours I have attended college but have at least 32 or more college credit hours
Are you a first generation college student ? *

Yes, I am the first among my parents or grandparents to attend college. No, either my parents or grandparents have attended college.
Major Area of Study: *
Please indicate what is your major are of study
What is your Career Objective: *

0/300
Have you submitted an application for admission? *

Yes No
II. High School Information:
What High School Do You Attend? *
Most recent cumulative GPA: *
High School activities, community activities, volunteer work, honors, offices held: *
III. ACT Information:
ACT composite (overall) score? *
ACT scores are not required for scholarship eligibility. However, providing an ACT score can increase the likelihood of your selection as compared to other candidates.
All scholarship applicants reporting an ACT score will be asked to provide official verification.
VII. Essay
Your essay should be 200-300 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay: *

0/500
VIII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
Christian Brothers Network, Inc. is committed to equal opportunity in employment and education. The organization does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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Christian Brothers Network Scholarship Application Form

I. Personal Data:

II. High School Information:

III. ACT Information:

VII. Essay

VIII. Applicant's E-Signature