High School Scholarship Application Form

High School Scholarship Application Form

Please fill out the following information to complete your application.

Personal Details

Name

    Gender

      • Male

      • Female

      Phone Number

        Date of Birth

          Address

            High School Name

            High School Address

            Current Grade Level

              • Freshmen

              • Sophomore

              • Junior

              • Senior

              Expected Graduation Date

              Cumulative GPA

              Name of Scholarship

              Why are you applying for this scholarship?

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

              Activity

              Organization

              Position/Role

              Duration

              List your community service activities and volunteer work:

              Activity

              Organization

              Position/Role

              Duration

              List any awards or honors you have received:

              Awards

              Description

              Date

              Parent/Guardian Name

              Parent/Guardian Occupation

              Household Income

                • Less than $20,000

                • $20,000-$50,000

                • $50,000-$100,000

                • More than $100,000

                Academic Reference

                Reference

                Position

                Contact

                Personal Reference

                Reference

                Position

                Contact

                Applicant's Declaration

                I hereby declare that the information provided in this scholarship application is true, complete, and accurate to the best of my knowledge. I understand that any false or misleading information may result in the disqualification of my application.

                Name:

                Date:

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