2025 Melissa Segars Scholarship Application Applicant Information IMPORTANT! PLEASE READ BEFORE YOU BEGIN Before you begin, please be prepared to complete this application in its entirety. You will not be able to close the application and return at a later time. All transcripts and recommendation letters must be submitted by the application deadline January 31. Applications that are incomplete or missing attachments will not be considered. Name * First Middle Middle Last * Last Email * Gender FemaleMale Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Primary Phone * Secondary Phone Name of High School * Date of Graduation School Address School Address School Address School Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal School Phone * Family Information Father’s Full Name Father’s Email Father’s Primary Phone Father’s Secondary Phone Father’s Address Father's Address Father's Address Father's Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Mother’s Full Name Mother’s Email Mother’s Primary Phone Mother’s Secondary Phone Mother’s Address Mother's Address Mother's Address Mother's Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal How many children are in your family? How many are currently attending college? Additional Information List any and all other financial assistance for which you have applied: List any partial or full scholarships you have already received: List colleges or universities to which you have applied: Name Status AcceptedPending plus1 minus1 Essay (Due to our blind judging process, DO NOT INCLUDE YOUR NAME ON YOUR ESSAY!) Essay should be typed in size 12 font, double spaced, and should include a minimum of 500 words, but no more than 600 words. Heavy emphasis will be placed on the applicants’ personal involvement in community service. Your essay should include a detailed description of all community service activities such as: volunteering at charitable organizations, church, mission work, school clubs and sports, hospitals, nursing homes, assisted living facilities, animal shelters etc. It should also reflect your personal goals in life and your plans for the future. REMEMBER: DO NOT INCLUDE YOUR NAME IN YOUR ESSAY! Upload Essay (Type in size 12 font, double spaced, with a minimum of 500 words or a maximum of 600 words) * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Acceptable file formats are doc, docx, .pages, pdf, jpg, and jpeg. Transcript, Test Scores, and GPA A copy of applicant’s transcript must accompany application. Upload Transcript * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Acceptable file formats are doc, docx, .pages, pdf, jpg, and jpeg. SAT Total Score ACT Composite Score GPA Letters of Recommendation Three (3) letters of recommendation are required. One letter must be from school officials (teacher, principal, or counselor) and Two must be from someone outside of school (not family members). It is the responsibility of the student to make sure all recommendation letters are submitted before the deadline. ALL RECOMMENDATION LETTERS SHOULD BE SUBMITTED BY January 31. Use the fields below to input the full name and email address of your recommenders, and we’ll send them an email asking for their letter of recommendation. Name * Email (DOUBLE CHECK TO MAKE SURE EMAIL ADDRESS IS TYPED CORRECTLY) * Name * Email (DOUBLE CHECK TO MAKE SURE EMAIL ADDRESS IS TYPED CORRECTLY) * Name * Email (DOUBLE CHECK TO MAKE SURE EMAIL ADDRESS IS TYPED CORRECTLY) * Signature All of the information in this application is true and correct to the best of my knowledge. I understand that the Trust Board Officials reserve the right to verify all information herein. Incomplete applications will not be considered. * I understand and agree to the terms within this application. reCAPTCHA Submit If you are human, leave this field blank.
