Scholarship Application

First Name*

Last Name*

Email Address*

Phone*

Address Line 1*

Address Line 2

City*

State*

Zip*

Expected/Actual Graduation Date*

Age*

Institute you plan to attend*

Major/Course of study*

Length of Study*
1 Year2 Years3 Years4 Years5 Years

Level entering*
FreshmanSophomoreJuniorSenior

Activities (both school and non-school)*

Any other important information

I certify that I am resident of Pennsylvania, am currently being educated under the Pennsylvania Home Education Law or Private Tutor Law, and to the best of my ability I have given correct information and will forfeit any scholarship $ if the information is found to be false or if I do not attend the institution listed above.
Certification of Applicant*
Yes

High School Transcript* (from high school program or parent)

Essay covering Christian Walk, Homeschool Career, and Future Plans* (1,000 words typed and double-spaced)

First letter of recommendation*

Second letter of recommendation*