Scholarship Application |

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2024 Scholarship Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Date Of Birth *

High School presently attending *

Grade Point Average (GPA) *

Anticipated graduation date *

What specialty/major do you plan to pursue if known?

Layout

Checkboxes

Not attending college?

Plans after highschool?

Estimated date of college/trade/vocational school graduation? *

Name of parent(s) or legal guardian(s) *

First

Last

Address of parent(s) or legal guardian(s) *

Address Line 1

Address Line 2

City

State

Zip Code

Personal Responses

In less than 250 words please explain how you last made someone smile or laugh *

In less than 250 words, please tell us who or what made you a better person than you were one year ago? *

The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. Incomplete applications will not be considered.

Two references from faculty. One must be from a teacher and one must be from an adult leader in an athletic program, community project or volunteer program you have participated in.

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the scholarship program.

Signature *

Date *

Upload Teacher Recommendation (2x Total) *

Click or drag files to this area to upload. You can upload up to 2 files.

REMEMBER
Please return all required materials by April 30th to:

RD26 Foundation-Scholarships.
C/O 21 Craigwood Terrace
Wilbraham, MA 01095