Scholarship Form | EFR Scholarship Foundation

Scholarship Application

Student scholarship application

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Personal Information

Your Name(Required)

First Middle Last

Date of Birth(Required)

Your Address(Required)

Street Address Address Line 2 City ZIP Code

Home Phone

Cell Phone

Email(Required)

Family Information

Parent 1 / Guardian's Name(Required)

First Last

Occupation - Parent 1(Required)

Parent 2 / Guardian's Name

First Last

Occupation - Parent 2

Education Information

Name of High School(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name of Guidance Counselor

Guidance Counselor Telephone

Guidance Counselor Email

Expected Graduation Date(Required)

Cumultative GPA(Required)

List and describe any honors, awards and activities you have achieved:(Required)

Name and location of college/university you plan to attend:(Required)

Desired Major

Have you been accepted?(Required)

Acceptance Date

References

Please list two people (non-relatives) who have knowledge of your character, accomplishments, and potential. Please provide their complete addresses and telephone numbers.

Reference Name 1(Required)

First Last

Occupation

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home

Cell

Email(Required)

Relationship

Reference Name 2(Required)

First Last

Occupation

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home

Cell

Email(Required)

Relationship

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Required Documents

The Committee will review and notify you of its decision. Signing below will be verification that all information you submitted is true.

Transcript

Max. file size: 50 MB.

Signature

The Committee will review and notify you of its decision. Signing below will be verification that all information you submitted is true.

Applicants Signature(Required)

Type your name to sign the application.

Date(Required)

Type Parent's / Guardian's Name To Sign

Type your name to sign the application. *Only if under 18 years old

Date