Empowering Scholarship 2025

EMPOWERING SCHOLARSHIP APPLICATION

Application Deadline - January 31, 2025
Read and follow the instructions carefully prior to submitting your application. All recipients will be notified on March 1st, 2025.
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 NameLast Name
Birthdate*

MonthDayYear
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please check accurate box:*

I am a cancer survivor.I am a sibling.
What hospital were you/your sibling diagnosed or treated at?*
Please check your status at the time of application.

I will graduate high school in May 2025I am currently attending post secondary education
II. High School Information
High School Attending/Attended:*
Year of High School Graduation or GED
High School activities, community activities, volunteer work, honors, offices held
III. Post-Secondary Institution Information
Institution you plan to attend:
Accepted Admission?

YesNo
Anticipated major:
Anticipated graduation date:
V. For Students Currently Enrolled in Post-Secondary Education
Institution currently attending:
Major:
Activities, community activities, volunteer work, honors, offices held
VI. Extras
Have you received an Empowering Scholarship previously?

YesNo
If answered yes, please note the year(s):
VII. Essay
Essay Instructions: 750 words (minimum), double spaced, Times New Roman font, size 12 font

*PLEASE DO NOT PUT YOUR NAME ON THE ESSAY!

Essay Question: Describe a time when you had to step out of your comfort zone and take a risk. What did you learn from the experience?
Essay Upload:*

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VIII. Letters of Recommendation

Two letters of recommendation
Letters of Recommendation:*

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IX. Applicant's E-Signature
By signing 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.
Signature

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For questions regarding Empowering Scholarships please email scholarship@ccciowa.org
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EMPOWERING SCHOLARSHIP APPLICATION

I. Personal Data

II. High School Information

III. Post-Secondary Institution Information

V. For Students Currently Enrolled in Post-Secondary Education

VI. Extras

VII. Essay

VIII. Letters of Recommendation

IX. Applicant's E-Signature