Volunteer Services Scholarship Application

Personal Information

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Email*

Phone*

Parent/Guardian (if currently a dependent)

Planned field of study

Planned school, college, university

Rank in class: (Please list ____ out of _____)

Grade point average

ACT score

If applicant is currently enrolled in college:

Year graduated from Chariton High School

School/college/university

Major

Credits earned

GPA Overall

GPA Major

Expected graduation (MM/YY)

Please attach a sheet detailing school/church activities, community activities, and leadership positions held

Leadership/Community Involvement

Max. file size: 128 MB.

Please respond to the following in a separate document. Essays should be typed, double-spaced, 500 words or fewer.

Describe your educational and occupational goals. Tell how this scholarship will help you achieve your goals.

Essay

Max. file size: 128 MB.

Please attach the following documents to this application.

Letter of Recommendation

Max. file size: 128 MB.

This letter of recommendation may be from anyone, including community leader, coach, employer, etc.

Letter of Recommendation - Instructor

Max. file size: 128 MB.

This letter of recommendation must be from an instructor, either current or past.

Current Transcript

Max. file size: 128 MB.

Current transcript, including complete courses.

Acceptance letter from accredited school

Max. file size: 128 MB.

A letter of acceptance from an accredited institution or proof that you are attending such an institution.

Signature*

First Last

Date

Captcha

File

Max. file size: 128 MB.

File

Max. file size: 128 MB.