Scholarship application

EMILY’S PROMISE SCHOLARSHIP

The amount of the annual scholarship will be $5,000 for a student headed into health care.

Application portal opens on Jan. 4th
Application portal will close on Mar. 4th
Decision made by May 4th

APPLICATION FOR EDUCATIONAL SCHOLARSHIP

Application Form

Full name

What's your age?

What school do you attend?

What was your SAT/ ACT score?

What is your GPA for the last semester?

Did you apply for a Bright Futures Scholarship?

This scholarship will reimburse you for expenses such as tuition, fees, books and 50% of housing costs based on presentation of verified receipts. Is this something you can work with?

Do you have a picture you can send? Please attach one or several for us to see.

Upload

Did you receive a bright futures scholarship? If so, which one?

What is your career goal?

Where do you want to attend college? If there are several please list them.

Have you been arrested?

Please describe three values you believe define you as a person.

Do you attend church? If so, where do you attend church?

Please describe for us in your own words yourself and what you hope to accomplish in your life?

Please describe for us in your own words the most significant challenge you have faced and how you overcame this challenge.

Please describe for us in your own words who the most influential person is in your life and why?

Please describe for us in your own words what you believe to be the most significant challenges in the world around you right now?

Please describe how the kindness of others has influenced your life?

What is the best telephone number for you?

Have you applied to any colleges? If you have please list those you have applied to and those you have been accepted at.

What is your mailing address?

What is your e-mail address?

Free Text

Please provide three character references – names – contact information and how long they have known you

Character Reference #1 Name:

Character Reference #1 Contact Info:

How long have they known you?

Character Reference #2 Name:

Character Reference #2 Contact Info:

How long have they know you?

Character Reference #3 Name:

Character Reference #3 Contact Info:

How long have they known you?

Please provide the name and contact information of supporting teacher – principle or school board member

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