Scholarship Application CONTACT INFORMATION Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### SCHOLAR INFO Current Grade * 9 10 11 12 College Grade Point Average * List any honors or awards you have received * Please list any school activities * Please list any special interests or hobbies you may have * RECOMMENDATION LETTER Please provide a recommendation letter from your teacher or counselor to the following email address: carolyneparkerfoundation@gmail.com. Your application will not be complete without this recommendation letter. ESSAY In 100 words or less, describe your educational goals. How will achieving these goals benefit you? Essay Response * Please review thoroughly before submitting. ELECTRONIC SIGNATURE * By typing your name in the space below, you agree that all the information provided in this application is true and accurate to the best of your knowledge. Thank you!
