Want To Apply? Fill Out The Scholarship Application Form

Step 1 of 5

20%

Student Information

Student Name*

First Last

Name of Parents(s)/Guardian(s)*

Home Phone Number*

Cell Phone Number

Your Email Address*

Address*

Street Address Address Line 2 City State ZIP Code

School Information

High School Graduation Date*

Month

Day

Year

High School Name*

Current GPA*

Class Rank*

Number of students in your class*

ACT Composition Score*

University or college you plan to attend*

Have you been accepted into this university or college?*

Intended major*

Activities & Awards

Please select the activities you have been involved in during high school. If none, select N/A.

Activity list 1

N/A

Academic Team

Band

Baseball

Basketball

Cheerleader

Choir

Cross Country

Dance Team

Debate

Activity list 2

Drama

FBLA

FCCLA

FFA

Football

Foreign Language

Golf

Hockey

Math Team

NHS

Activity list 3

Newspaper

Robotics

Soccer

Speech

Student Council

Track

Volleyball

Wrestling

Yearbook

How many years have you been involved in the academic team?*

How many years have you been involved in band?*

How many years have you been involved in baseball?*

How many years have you been involved in basketball?*

How many years have you been involved in cheerleading?*

How many years have you been involved in choir?*

How many years have you been involved in cross country?*

How many years have you been involved in the dance team?*

How many years have you been involved in debate?*

How many years have you been involved in drama?*

How many years have you been involved in the FBLA?*

How many years have you been involved in the FCCLA?*

How many years have you been involved in the FFA?*

How many years have you been involved in football?*

How many years have you been involved in foreign languages?*

How many years have you been involved in golf?*

How many years have you been involved in hockey?*

How many years have you been involved in the math team?*

How many years have you been involved in the NHS?*

How many years have you been involved in the newspaper?*

How many years have you been involved in robotics?*

How many years have you been involved in soccer?*

How many years have you been involved in speech?*

How many years have you been involved in the student council?*

How many years have you been involved in track?*

How many years have you been involved in volleyball?*

How many years have you been involved in wrestling?*

How many years have you been involved in the yearbook?*

Please list additional activities and number of years involved here*

List honors and/or awards you have received during your high school career*

List non-school-related volunteer activities you have participated in during your high school career*