2018 High School Scholarship Application

This application must be submitted no later than Friday April 6, 2018.


Student Information:
First Name  
Last Name  
email Address  
Gender   MaleFemale
Student Contact Phone Number  
Cell Phone Number  
Home Address  
   
City, State   , CA
ZIP code  

Current School information:
Name of School you attend now  
Staff Member Contact name  
Staff Member Role  
Your Current Grade      Current GPA:
Tell us about some of your
achievements, activities, or
highlights of your high school
life:
 

Desired Higher Education:
Name of School you want to attend      Have you been Accepted?
Why do you want to attend
this school?:
 

Your Parent or Guardian information:

Parent/Guardian name(s)  
Parent/Guardian email  
Parent/Guardian Cell Phone Number