Free 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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