EmailMe Form - GERMAN SCHOOL campus Scholarship Application

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Have you submitted an application before? *

Yes

No

Have you applied for any other scholarships? *

Yes

No

Do you have a relationishp with anyone affiliated to the School? *

Yes

No

School Attended *

GPA *

Date Attended *

MM / DD / YYYY

Name of School *

Honor/Award *

Date Time *

MM / DD / YYYY

Have you completed any community service activities? *

Yes

No

In 200 - 500 words, state why do you need the scholarship and what are your goals *

Name *

First Last

Signature *

Date Time *

MM / DD / YYYY