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:

Application Form Templates @ Template.net