Roughrider Scholarship Application

Application

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Center High School General Scholarship Application

First Name *

Last Name *

Select Graduation Year *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Student Email

Student Phone *

Parental Information

Father's Name *

Father's Occupation/Job *

Father's Employer *

Mother's Name *

Mother's Employer *

Mother's Occupation/Job *

Your Information

List the colleges, universities, or technical schools you've applied to *

College Major of Interest *0 / 250

Community Service Hours to Date *0 / 7

List activities, organization, and groups you have been involved with or part of while in High School *

Explain the reasons you are applying for a scholarship and why you should be selected. *

Consent

Authorization for Release of Educational Information *

I hereby give permission for my transcript and other information necessary for scholarship consideration to be

reviewed by the scholarship committees. I understand the receipt of a scholarship is a privilege.

Should I be awarded a scholarship, I will enroll in college as a full-time student the fall semester following

graduation or scholarship money is forfeited.

Today's Date *

Please upload any pertinent files here. REQUIRED: Student’s Six Semester Transcript including college admission test scores. If available, any college acceptance letters should also be uploaded. *

Drag and Drop (or) Choose Files

OR, download the application here and deliver to RSF or email to info@roughriderscholarship.org

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