Scholarship Application for First Time Award

For questions requiring a date, be sure to click on the field and either type in, or scroll to the date you wish to select.

Personal Information

* First Name

* Last Name

* Date

* Student ID Number

* Current Address

* Email:

* Cell Phone:

* Date of Birth

* Last 4 digits of Social Security #

* Approximately how much tuition assistance do you need?

* Do you receive any financial assistance? If so, please explain.

Academic Information

* Name of school

* GPA

* Status:

* Year:

* What degree & subject are you working toward?

* What is your current expected graduation date?

* How many more hours do you need to graduate?

* Please list any recent awards or academic honors you have received and date.

* Please describe your current career goals

* Please list any other education or certifications and the date completed.

* Date of Admission

When will your transcript will be available?

When will your tuition invoice be available?

Tuition due date

Employment - If Applicant is Self

Department

Position

Date employed

Immediate Supervisor

Prior work history (please list last two positions if applicable): 1. Company/Position/Dates employed 2. Company/Position/Dates employed

Have you worked at least 175 hours at The Plantation in the last 90 days?

Employment - If Applicant is Dependent or Spouse

First Name

Last Name

Position

Department

Date of Employment at The Plantation

Immediate Supervisor

Email:

Cell Phone:

* This application is for my:

Have you worked at least 175 hours at The Plantation in the last 90 days?

Extracurricular Activities & Community Service

* Please list any activities you have been involved in that will help us to know you better.

* Please share any additional information about yourself that you would like to share with us.

You must press the 'submit' button below to complete the application.
There are no questions in this section

* Denotes Required Field

*****BE SURE TO PRESS THE 'SUBMIT' BUTTON BELOW TO COMPLETE THE APPLICATION AND WAIT FOR THE CONFIRMATION THAT IT HAS BEEN RECEIVED*****

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