Juneteenth Rock Hill Scholarship Application

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REQUIREMENTS OF APPLICANT
1. Submit on Google Form: Complete the Scholarship Application
2. Submit by Mail: Complete a one-page response to the essay prompt. Essay Prompt: Describe the impact of education in your life and how it can impact the lives of young people.
3. Submit on Google Form: Resume of extra-curricular civic/religious activities and community service
4. Submit by Mail: Two professional letters of recommendation:
a. Letter from a current high school guidance counselor on official school letterhead
b. Letter from a community or youth leader, clergy or other professionals who know attributes of you as a student.
5. Submit by Mail: An official high school transcript with most current GPA in sealed envelope.

Email *

Student Name (First, Mi, Last) *

Student Street Address *

Student City, State, Zip Code *

Student Phone Number *

Student Date of Birth *

YYYY

Student Email Address *

Parent Name (First, Mi, Last) *

Parent Street Address

Parent City, State, Zip Code

Parent Contact Phone Number *

Parent Email Address *

Name of Current School *

Name of School Counselor *

Graduate Date *

YYYY

Current GPA *

Educational Interest (i.e. Academic Track, Subject Focus)

Honors, Awards, Achievements, Scholarships

Extracurricular Activities

Membership in Organizations (academic, social, civic, church, etc.)

Community Involvement

Employment Experiences

Submit

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