Scholarship Application | LWM Foundation

LEGACY BUILDER SCHOLARSHIP APPLICATION

1. Applicant Information

First Name

Middle Name

Last Name

Preferred Name

Street Address

City

State

Zip Code

Phone Number

Email Address

Date of Birth

Month

Day

Year

2. Education Information

High School

High School City

High School State

Zip Code

Weighted GPA

Unweighted GPA

Planned Area of Study

ACT Taken

Yes

No

ACT Score (if applicable)

3. High School Activities

Activity

Position/Role

Years Involved

Activity

Position/Role

Years Involved

Activity

Position/Role

Years Involved

4. Community Service

Organization

Activity

Supervisor Name

Supervisor Phone

Dates of Service

Organization

Activity

Supervisor Name

Supervisor Phone

Dates of Service

5. Family & Financial Background

Are you a first-generation college student?

Yes

No

6. Essay Section (250 word count)

Discuss a personal obstacle you encountered and how overcoming it has influenced your personal goals, character, or future aspirations.

Why should the LWM Foundation award you a scholarship? (250 word count)

7. Document Upload Checklist

Please upload documents from a teacher, employer, mentor, counselor, or community leader—accepted file formats: PDF or Word document.

High School Transcripts

Recommendation Letter (two)

Copy of College Acceptance Letter

8. Should you be selected to receive the Legacy Builders Scholarship, please acknowledge and/or provide the following:

Accredited Enrollment Confirmation

Funding Understanding

Computer Funding Exception Acknowledgement

Thank-You Note Agreement

9. Certification & Signature

I certify that all information provided in this application is true and complete to the best of my knowledge. I authorize LWM Foundation to share my application with the scholarship committee and prospective donors. I understand that submitting an application does not guarantee selection.

If I am awarded a scholarship, I consent to the use of my name and image in future Foundation materials.

Signature

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Date

Month

Day

Year

Legacy Builder Scholarship

LEGACY BUILDER SCHOLARSHIP APPLICATION

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