Scholarship Application

About the Applicant

Applicant's Full Name(Required)

Applicant's Full Address(Required)

Street Address Address Line 2 City State ZIP Code

Preferred Contact Number(Required)

Preferred Email(Required)

Name of High School(Required)

Other: Name of High School(Required)

Current Cumulative Grade Point Average (GPA)(Required)

Upload a high resolution photo. (Senior pictures are preferred.)(Required)

Drop files here or

Max. file size: 256 MB.

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Photo Review(Required)

About Your Parent

Parent / Guardian Email(Required)

Parent / Guardian Name(Required)

Parent / Guardian Phone(Required)

Do you want to add another parent / guardian?(Required)

Yes

Parent / Guardian Name(Required)

Parent / Guardian Email(Required)

Abut Your Extra-curricular Activities

List any high school activities in which you participated.

Name of activity / Club

Office Held

What year did you participate in this activity / club? (Check all that applies)

Freshman

Sophomore

Junior

Senior

Name of activity / Club

Office Held

What year did you participate in this activity / club? (Check all that applies)

Freshman

Sophomore

Junior

Senior

Name of activity / Club

Office Held

What year did you participate in this activity / club? (Check all that applies)

Freshman

Sophomore

Junior

Senior

List awards, scholarships, publications or special recognition you have received.

List your work experiences including part-time, full-time and volunteer positions.

List the areas in which you earned your community service hours.

Post Secondary Education

List the names of the colleges and universities you applied to and provide the status of each application.

College / University(Required)

City & State(Required)

Admission Status(Required)

Waiting

Accepted

Denied

Upload acceptance letter(Required)

Max. file size: 256 MB.

College / University(Required)

City & State(Required)

Admission Status(Required)

Waiting

Accepted

Denied

Upload acceptance letter(Required)

Max. file size: 256 MB.

College / University(Required)

City & State(Required)

Admission Status(Required)

Waiting

Accepted

Denied

Upload acceptance letter(Required)

Max. file size: 256 MB.

Have you decided on what college or university you will be attending in the Fall?(Required)

Yes

Please provide the name of the college / university you will be attending in the Fall.(Required)

Do you know what you plan to major in as an undergraduate?(Required)

Yes

Please list your planned major here.(Required)

What additional personal information do you wish to share with the Kappa Youth & Community Foundation’s Scholarship Committee?

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Judge 1(Required)

Please enter a number from 0 to 32.

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Judge 2(Required)

Please enter a number from 0 to 32.

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Judge 3(Required)

Please enter a number from 0 to 32.

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Judge 4

Please enter a number from 0 to 32.

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Judge 5(Required)

Please enter a number from 0 to 32.

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Judge 6(Required)

Please enter a number from 0 to 32.

Essay

Describe a societal/community problem that you will work to resolve during and/or after your college career.

Use the space below to respond to the essay question.(Required)

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Judge 1(Required)

Please enter a number from 0 to 30.

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Judge 2(Required)

Please enter a number from 0 to 30.

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Judge 3(Required)

Please enter a number from 0 to 30.

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Judge 4

Please enter a number from 0 to 30.

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Judge 5(Required)

Please enter a number from 0 to 30.

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Judge 6(Required)

Please enter a number from 0 to 30.

Transcript

Your official transcript must be sent to us by your counselor or school designee. Therefore, we need permission from your parent(s.)

Parent/ Legal Guardian Full Name(Required)

Parent/Legal Guardian's Signature(Required)

As the applicant, it is your responsibility to ensure that you provide us with the correct email address of your registrar or counselor responsible for sending us your transcript. Your application will not be forwarded to the committee until your registrar or counselor has sent us your official transcript.

Registrar / Counselor's Name(Required)

Registrar / Counselor's Email(Required)

Registrar / Counselor's Phone Number(Required)

Dear Registrar / Counselor, please provide the committee with the actual overall cumulative weighted grade point average for this applicant. In addition to the applicant's GPA, please also enter the grading scale used to calculate this average.

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Cumulative Weighted Grade Point Average(Required)

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Grading Scale(Required)

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Please upload a copy of this student's official transcript using the tool below.(Required)

Max. file size: 256 MB.

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Registrar / Counselor's Signature(Required)

Please use your mouse to provide your electronic signature

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Judge 1(Required)

Please enter a number from 0 to 30.

2.5 – 2.99 = Worth 10 pts
3.0 – 3.49 = Worth 20pts
3.5 – 3.99 = Worth 25 pts
4.0 > = Worth 30 pts

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Judge 2(Required)

Please enter a number from 0 to 30.

2.5 – 2.99 = Worth 10 pts
3.0 – 3.49 = Worth 20pts
3.5 – 3.99 = Worth 25 pts
4.0 > = Worth 30 pts

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Judge 3(Required)

Please enter a number from 0 to 30.

2.5 – 2.99 = Worth 10 pts
3.0 – 3.49 = Worth 20pts
3.5 – 3.99 = Worth 25 pts
4.0 > = Worth 30 pts

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Judge 4

Please enter a number from 0 to 30.

2.5 – 2.99 = Worth 10 pts
3.0 – 3.49 = Worth 20pts
3.5 – 3.99 = Worth 25 pts
4.0 > = Worth 30 pts

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Judge 5(Required)

Please enter a number from 0 to 30.

2.5 – 2.99 = Worth 10 pts
3.0 – 3.49 = Worth 20pts
3.5 – 3.99 = Worth 25 pts
4.0 > = Worth 30 pts

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Judge 6(Required)

Please enter a number from 0 to 30.

2.5 – 2.99 = Worth 10 pts
3.0 – 3.49 = Worth 20pts
3.5 – 3.99 = Worth 25 pts
4.0 > = Worth 30 pts

Recommendation

Two letters of recommendation are required to have your application reviewed by the committee -- One (1) from the school representative and one (1) from a non-school representative. The persons writing recommendations should specify their relationship to the applicant or the capacity in which they know or have observed the applicant, i.e. teacher, pastor, principal, community leaders, mentor, etc.

School Representative's Name(Required)

School Representative's Email(Required)

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Your relationship to applicant.(Required)

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Other: Relationship to applicant(Required)

Please respond to the following:

(1) How long and in what capacity have you known the applicant?

(2) Please address the following qualities as related to the applicant:
a. Achievement (academic and personal)
b. Leadership (formal and informal)
c. What additional information about the applicant will be helpful to the Scholarship Committee as they make their decision (special circumstances, life events, etc.)

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Use this space to copy / paste your recommendation for this student.(Required)

School Representative

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Judge 1(Required)

Please enter a number from 0 to 5.

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Judge 2(Required)

Please enter a number from 0 to 5.

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Judge 3(Required)

Please enter a number from 0 to 5.

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Judge 4

Please enter a number from 0 to 5.

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Judge 5(Required)

Please enter a number from 0 to 5.

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Judge 6(Required)

Please enter a number from 0 to 5.

Non-school Representative's Name(Required)

List the name of the non school representative you want to complete your recommendation.

Non-school Representative's Email(Required)

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Your relationship to applicant.(Required)

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Other: Your relationship to applicant(Required)

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Use this space to copy / paste your recommendation for this student.(Required)

Non-school Representative

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Judge 1(Required)

Please enter a number from 0 to 5.

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Judge 2(Required)

Please enter a number from 0 to 5.

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Judge 3(Required)

Please enter a number from 0 to 5.

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Judge 4

Please enter a number from 0 to 5.

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Judge 5(Required)

Please enter a number from 0 to 5.

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Judge 6(Required)

Please enter a number from 0 to 5.

Acknowledgement

Acknowledged each statement below with a check.

Applicant's Signature(Required)

SIGN IN YOUR ACCOUNT TO HAVE ACCESS TO DIFFERENT FEATURES

FORGOT YOUR DETAILS?

About the Applicant

About Your Parent

Abut Your Extra-curricular Activities

Post Secondary Education

Essay

Transcript

Recommendation

Acknowledgement