Academic Scholarship Application

A student will officially be awarded $1,250 each semester upon the student’s enrollment in the 4-year college or university of their choice. A member of the scholarship committee maintains contact with and mentors each student during his college career.


Name of High School


Extracurricular Activities


Essay and Other Information

Please submit a typed 500 word essay that answers the following questions:

  • Why should you be considered for this scholarship?
  • What is your proposed field of study, and what are your future career plans?
  • How will this opportunity improve/help you develop your personal skills?
  • How will this opportunity help you benefit/serve others on campus or in your local community?
  • Include any additional comments that clearly explain your need and merit for this scholarship.
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Student Certification

Statement of Applicant: I certify that I meet the qualifications for this scholarship, that I will be a full-time student at a College/University during the academic year and that the information submitted with this application is duly accurate.
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Clear Signature