High School Scholarship Application Form

High School Scholarship Application Form

Deadline: February 13, 2026
Name

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

MonthDayYear
Date
MaleFemaleOther
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
High School Name
High School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
FreshmanSophomoreJuniorSenior
Cumulative GPA
Explain how receiving this scholarship would make a difference in your journey after high school — academically, financially, or personally.
Essay (250-500 words)
What career or field are you most interested in pursuing after high school, and why does it interest you?
Essay (250-500 words)

List your extracurricular activities, including sports, clubs, and organizations:

List your community service activities and volunteer work

List any awards or honors you have received

Academic Reference

Rows	Name	Position	Contact Information
Reference

Personal Reference

Rows	Name	Position	Contact Information
Reference

Applicant's Declaration

I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in the disqualification of my application.
Applicant's Signature
Date signed

MonthDayYear
Date
Should be Empty: