Melissa Segars Scholarship

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. Applications that are incomplete or missing attachments will not be considered.

Name *

First

Middle

Last *

Last

Email *

Gender

Address *

Address

City

State/Province

Zip/Postal

Primary Phone *

Secondary Phone

Name of High School *

Date of Graduation

School Address

City

State/Province

Zip/Postal

School Phone *

Family Information

Father's Full Name

Father's Email

Father's Primary Phone

Father's Secondary Phone

Father's Address

City

State/Province

Zip/Postal

Mother's Full Name

Mother's Email

Mother's Primary Phone

Mother's Secondary Phone

Mother's Address

City

State/Province

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

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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.

Your essay should reflect the scope of your personal involvement in community service activities. It should also reflect your personal goals in life and your plans for the future. Please also state how this scholarship award will help you meet those goals.

REMEMBER: DO NOT INCLUDE YOUR NAME IN YOUR ESSAY!

Upload Essay *

Drop a file here or click to upload Choose File

Maximum upload size: 67.11MB

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. Acceptable file types are pdf, jpg, and jpeg.

Upload Transcript *

Drop a file here or click to upload Choose File

Maximum upload size: 67.11MB

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. Two letters must be from school officials (teacher, principal, or counselor) and one must be from someone outside school (not family members).

Use the fields below to input the full name and email address, and we’ll send them an email asking for their letter of recommendation.

Name *

Email *

Name *

Email *

Name *

Email *

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.

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Applicant Information

IMPORTANT! PLEASE READ BEFORE YOU BEGIN

Family Information

Additional Information

List colleges or universities to which you have applied:

Essay (Due to our blind judging process, DO NOT INCLUDE YOUR NAME ON YOUR ESSAY!)

Uploading Files. Please Wait.

Transcript, Test Scores, and GPA

Letters of Recommendation

Signature