Standard Scholarship Application

STANDARD SCHOLARSHIP APPLICATION

STUDENT INFORMATION

Full Legal Name: High School:

Phone: E-mail:

Mailing address:

City, State ZIP Code:

Same as physical address?

Physical address:

City, State ZIP Code:

PARENT INFORMATION

Mother/Guardian Name: Father/Guardian Name:

Phone: Phone:

Email: Email:

Same as student address?

Mailing address:

City, State ZIP Code:

Same as student address?

Mailing address:

City, State ZIP Code:

Same as student address?

Physical address:

City, State ZIP Code:

Same as student address?

Physical address:

City, State ZIP Code:

LIST OF COLLEGES YOU’VE APPLIED TO IN ORDER OF PREFERENCE

2yr/4yr/Trade College Name Admitted? Yearly Tuition Yearly Room/Board

AREA OF STUDY

Share your major or planned area of study:

HIGH SCHOOL COURSE WORK

Course Work

Senior year courses, or highest level completed

English

Math

Science

History

Foreign Language

Electives

Other