2024 Gate City Chapter Scholarship Application

2024 Gate City Chapter Scholarship Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Parent(s) or Guardians(s) Address (es)

Father or Legal Guardian *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Mother or Legal Guardian *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

High School Information

High School Name *

Expected Graduation Date *

Current Weighted Grade Point Average *

Test Scores:

SAT Score (Optional)

ACT Score (Optional)

Essay

Why have you chosen to attend North Carolina Agricultural and Technical State University for your higher education? (250 words or less) *

Additional Documents

Please upload the following documents:

Resume: *

Click or drag a file to this area to upload.

Unofficial High School Transcript: *

Click or drag a file to this area to upload.

FAFSA SAR Report-Including Expected Family Contribution (EFC)

Click or drag a file to this area to upload.

(DO NOT SUBMIT FULL REPORT)

School letter of recommendation (1): *

Click or drag a file to this area to upload.

A letter of recommendation from school, on letterhead from faculty member or administrator.

Community Organization letter of recommendation (1): *

Click or drag a file to this area to upload.

A letter of recommendation from community a organization, on letterhead (i.e. faith-based; civic; Boy/Girl Scouts; Boys & Girls Club; Jack-N-Jill; pageants/cotillions; etc.) or someone who is a Non Relative.

CERTIFICATION

I HAVE READ AND UNDERSTAND THE REQUIREMENTS AND CRITERIA FOR THIS SCHOLARSHIP. I AM AWARE OF THE SUBMISSION DEADLINE. I UNDERSTAND THAT LATE OR INCOMPLETE APPLICATIONS WILL NOT BE REVIEWED. I UNDERSTAND THAT APPROPRIATE INFORMATION MAY BE RELEASED WHEN AWARDING SCHOLARSHIPS. I FURTHER UNDERSTAND THAT THE PROVIDING OF FRAUDULENT INFORMATION DISQUALIFIES ME AS AN APPLICANT FOR THIS SCHOLARSHIP. I ALSO UNDERSTAND THAT IF SELECTED FOR THIS AWARD, I WILL BE SUBJECT TO YEARLY REQUIREMENTS.

Acknowledgement *

Acknowledgement: I have read and agree to the above terms and conditions.

Date *

How did you hear about our Scholarship? *

Email