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Header Two
Home
Student Services
Financial Aid
Types Of Aid
Scholarships
Scholarship Application
Scholarship Application
If you see this don't fill out this input box.
Section 1 - Personal Information
Name (Last, First, MI, Maiden)
*
Student ID (LoLA #)
*
Permanent Address (Street, City, State, ZIP Code)
*
Date of Birth (month/day/year)
*
Phone Number
*
Last Four Digits of SSN
*
Email Address
*
Section 2 - Academic Information
Name of High School
*
Guidance Counselor's Name
*
Guidance Counselor's Email
*
ACT or SAT Composite Score
*
Math Score
*
Reading Score
*
English Score
*
Science Score
*
Continuing or Transfer Students Only
Please fill out the following section if you are a continuing or transfer student.
Name of College(s)
GPA
Number of Earned Credit Hours
Major
Section 3 - Activities and Interests
How many extracurricular activities are you currently involved in?
*
Extracurricular Activity Descriptions
List and briefly describe the two extracurricular activities that are most important to you.
Name of First Organization/Association
*
Your Role/Position at First Organization
*
Dates of Affiliation/Membership
*
Name of Second Organization/Association
*
Your Role/Position at Second Organization
*
Dates of Affiliation/Membership
*
List Honors or Academic Awards You Have Received
*
Section 4 - Short Essay
Include a 500 - 800 word essay describing “A memorable food experience you have had, such as a delicious meal you experienced, the 1
st
meal you prepared, a family food tradition, etc. and tell us why you are deserving of this $1500 scholarship?”
Enter your essay here.
*
Form UUID
Site Name
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