Student Information


Name*

School*

County*

Address*

City, Zip & State*

Phone*

Email*

Gender*

Age (before June 30, 2015)*

Parent/Guardian Information


Name*

Address*

City, Zip & State*

Daytime Phone*

Evening Phone*

Email*

Academic Achievements


Please list academic honors, awards, and significant achievements

Student’s Weighted GPA:*

Student’s Unweighted GPA:*

Community Service Involvement


Please include responses to the questions below typed in narrative format (as opposed to a list of volunteer activities).

Please describe your involvement in community service outside of school activities/organizations. This includes service that is NOT part of any scholarship requirements.*


Please describe your involvement in school-based community service activities. This includes service that is part of scholarship requirements.*

Essay Section


Please include responses to the essays below typed in narrative format. Responses should be limited to 750 words or less.

Why are you actively involved in community service? Why do you think other teenagers aren’t involved in community service work, and how would you propose to motivate other teens to volunteer?


What needs do you currently see in your community, school, church, etc. that are not being met by existing organizations? How would you propose to “fill in the gaps” to meet those needs? Provide details about a service project, nonprofit organization, or collaboration with an existing nonprofit that you would spearhead if provided with all of the necessary tools and resources. Please be careful not to duplicate efforts, so you may need to do some research on what is currently being done in the community in whatever area you choose. Be original and creative!

Upload ESSAY Here*


Please attach all Documents in a WORD format and make sure that there are no special characters such as ()%!$&?

Additional Documents


Please upload two letters of recommendation below.

1. Letter of recommendation from a teacher/school administrator.


Upload Letter from Teacher/School Administrator Here*

2. Letter of recommendation from a nonprofit/community service organization representative with whom you’ve completed volunteer work.


Upload Letter from Nonprofit/Community Service Organization Representative Here*


Please attach all Documents in a WORD format and make sure that there are no special characters such as ()%!$&?

Please enter the text below captcha

By Clicking SUBMIT, I agree that all information is correct

*Required fields