Scholarship Application

Name *

Name

First Name

Last Name

Birthday *

Birthday

YYYY

Email *

Your phone

(###)

###

####

Your skype username

Skype is a free service for computers, tablets and phones. If you are selected as a semi-finalist you must be available for a Skype-interview. We will contact semi-finalists in late March to conduct interviews.

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

State

Have you been accepted to an accredited college or vocational school? (If not, you can still apply). *

Yes

If yes, what is the name of your school? *

What is your GPA (unweighted) from the most recent academic year? *

Gotta Have Sole scholarship recipients display strength in the face of any obstacle. What are some challenges you've faced over your lifetime and how have you overcome them? *

100-500 words

Gotta Have Sole scholarship recipients are passionate about helping others and have demonstrated their passion by giving back to their community. What have you done to give back to your community? Examples include: volunteering with your youth group, picking up trash on your street, helping a friend in need. *

100-500 words

Gotta Have Sole scholarship recipients have big plans for their future. What do you hope to accomplish in your future and how will this scholarship help you to get there? *

100-500 words

How are you planning to pay for your school next year? *

What is your family's yearly household income? (Use your best guest, or ask your parents) *

Are you involved in any kind of government subsidized program? *

Yes

Do you verify that all information in this application is correct? *

Yes

Do you agree to have your name used in media and announcements should you be selected as a Gotta Have Sole Scholarship recipient? *

Yes