Senior Scholarship Program

Application Deadline – February 28, 2023

Printable Application (PDF)

Scholarship Application

Name(Required)

First Last

Address(Required)

Street/PO Box City State Zip

County(Required)

Date of Birth(Required)

Phone(Required)

Email(Required)

Sex(Required)

Male

Female

Number of dependent children in family including applicant(Required)

Parents or Guardians

Name(Required)

Occupation(Required)

Name

Occupation

Family annual income(Required)

20,000 or less

20,000-40,000

40,000-60,000

60,000-80,000

80,000-100,000

100,000+

Education

High School attending(Required)

Current cumulative GPA(Required)

Please attach copy or image of transcript(Required)

Max. file size: 256 MB.

ACT or SAT exam score(Required)

Please attach copy or image of ACT or SAT exam score(Required)

Max. file size: 256 MB.

College/university you plan to attend(Required)

List extracurricular activities at school in which you have participated or honors you have received(Required)

List community activities in which you have participated or honors you have received(Required)

If you have been awarded scholarship(s) or applied for other types of financial aid or scholarship(s), please explain

Course of study you plan to pursue in higher education to attain your career goal interest(Required)

Essay

Please attach essay(Required)

Max. file size: 256 MB.

In an essay with a minimum of 300 words, please state what you are looking forward to most about attending college and how a scholarship, in terms of financial assistance, would help you in completing your education.

Letters of Recommendation

Letter of recommendation 1(Required)

Max. file size: 256 MB.

Must be signed

Letter of recommendation 2(Required)

Max. file size: 256 MB.

Must be signed