2025 Scholarship Application Please note that all fields with the * are required. Name*FirstMiddleLast Address* Zip Code* Home Phone Number Cell Phone Number Email Address* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year______________________________________________________________________________________________________________ Current Senior High School* City* Year* Cumulative GPA* Class Rank* SAT Score ACT Score Intended Field of Study and College* Parents/Guardian: Mother Parents/Guardian: Father Parents/Guardian Address Parents/Guardian Occupation: Mother Parents/Guardian Occupation: Father Parents/Guardian Occupation: Address Guardian Home Phone Number Guardian Cell Phone Number Guardian Email Number of siblings in household*______________________________________________________________________________________________________INVOLVEMENT School Activities* Community Activities* Church Activities* Hobbies*REQUIREMENTS: THE FOLLOWING MUST BE UPLOADED WITH THIS ONLINE APPLICATION Official Transcript* Photo (Head Shot)* 1 of 2 letters of recommendation (Community, Church, Teacher, School Counselor)* 2 of 2 letters of recommendation (Community, Church, Teacher, School Counselor)* Essay: Select one (1) topic from the 4 topics listed below to express your written opinion, use 250-300 words with essay topic. The topic and student's name must be placed on the essay page.*1.Gun Violence – How can gun violence be eradicated in the UnitedStates?2.January 6 Insurrection – What effect could the January 6 insurrection have had on democracy if it had been successful?3.Food Deserts – Food deserts in Arkansas have an impact on citizensaccessing adequate food for families. How can we eliminate food deserts?4. War in Ukraine – What is the responsibility of the United States and other countries in supporting Ukraine in its efforts to remain independent of Russia? reCAPTCHASubmitReset