EmailMe Form - 2023 Category 3 SOUTHWEST NAHRO SCHOLARSHIP

Name

First Last

Address

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

Phone

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

Email

Gender

Male

Female

Age

Name of Housing Agency and City

Marital Status

Married

Single

Divorced

Social Security #

Number of children at home

Ages of children at home

Expected Graduation Date

Currently in school?

Yes

No

If yes, what level

College or Vocational School you plan to attend, or are attending

Academic Major(s) will pursue, or are pursuing

If you are not presently in school, please provide information about when you plan to start school, including what steps that you have taken to become eligible, and what other resources you may have available to you including scholarships and the amount of each

List your academic accomplishments, extra-curricular activities, (e.g. awards, honor societies)

List the community activities in which you have taken part (e.g. church groups, community service organizations, etc.)

List job history including dates and places of employment

List hobbies and any special interests

List two personal references (name, addresses, and phone number)

Provide information on any special circumstances about yourself or your family

Two letters of recommendation

Attach two letters of recommendation from community leaders such as teachers, coaches, church leaders, employers, etc. (adults that know you well and can attest to your character, work habits, etc.)

High School Transcript

Submit an official (stamped or signed) current transcript if in school

Essay

Applications must write an essay of 500 words or less on why he or she has chosen to pursue the area of study chosen, and what influenced the applicant’s choice of that area of study. ESSAYS MUST BE TYPED

Photograph

A photograph to be used in a slide show presentation if selected. Applicants are allowing Southwest NAHRO use of their photographs unless they state otherwise in writing.

Housing Agency Certification signed by the Executive Director