EmailMeForm
ICRI Carolinas Chapter Scholarship Application
2024 Student Scholarship
Name
First
Last
Email
Phone
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Name of School or College:
School's Mailing Address:
Financial Aid Department Phone:
Financial Aid Department Email:
List Major Course(s) of Study:
What class will you be in the fall semester:
Freshman
Sophomore
Junior
Senior
Graduate Student
Expected date of graduation:
Your current GPA:
This GPA is from:
High School
Undergraduate
Graduate
Technical or Trade School
Work Experience & Internships
Current or most recent position:
List company or organization name and your position
Start Date:
MM
/
DD
/
YYYY
End Date:
MM
/
DD
/
YYYY
Hours Per Week:
Next most recent position
List company or organization name and your position
Start Date:
MM
/
DD
/
YYYY
End Date:
MM
/
DD
/
YYYY
Hours Per Week:
End Date:
MM
/
DD
/
YYYY
Activities, Awards and Honors
List all school activities in which you have participated during the past four years (e.g., student government, clubs, associations, music, sports, etc.). List all community activities in which you have participated without pay during the past four years (e.g., Boy/Girl Scouts, hospital volunteer, Special Olympics, etc.) Indicate all special awards, honors and offices held.
Activity #1:
Number of years participated:
Special Awards or Honors:
Offices Held:
Activity #2:
Number of years participated:
Special Awards or Honors:
Offices Held:
Activity #3:
Number of years participated:
Special Awards or Honors:
Offices Held:
SCHOLARSHIP ESSAY
: Discuss an accomplishment, event, or realization that sparked a period of personal growth and a new understanding of yourself or others. Did this event influence your decision to pursue a specific path for your education?
Your Response:
*
OPTIONAL ITEMS
You may supplement your application by submitting your CV or résumé, a letter of recommendation and/or a copy of your transcript. Your application will be considered complete and will be judged even if you do not submit additional items.
Upload your optional files:
Add File
You may select multiple files to upload at once.
YOUR PERMISSION:
I AGREE
I give my permission to share my scholarship essay and background information from this application with Board members of the Carolinas Chapter of ICRI for the purposes of being considered for a scholarship award.