Dr. Arthur Vaughn
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Scholarship Application
Student Information
Name
First Name*
Middle Name*
Last Name*
Name Applicant Goes By
Address
Home Address*
City
State
ZIP / Postal Code
Country
Cell Phone*
Alternate Number*
Email Address*
DOB*
Graduation Date*
Cumulative GPA*
Current School*
Guidance Counselor*
What college will you attend this fall?*
What's your proposed major?*
YouTube Link
Are you eligible for the school free/reduced meals?*
Yes
No
To determine household financial status, we will use participation in the school free/reduced meal program.
How did you hear about the scholarship?*
To determine household financial status, we will use participation in the school free/reduced meal program.
Parent Information
Guardian's Name
Prefix*
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
First Name*
Last Name*
Guardian's Address
Address*
City
State
ZIP / Postal Code
Country
Guardian Cell Phone*
Guardian's Alternative Phone*
Recommendations
Recommendation #1*
Max. file size: 2mb.
Recommendation #2*
Max. file size: 2mb.
Scholarship Questions
Future Professional Goals:*
Community Service and/or Volunteer Activities:*
Honors/Awards:*
School Clubs/ Extracurricular Activities:*
Upload Essay
Max. file size: 2mb.
Topic: How I plan to make a positive impact on my community *500 words minimum
Signature*
Date*
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