P.O. Box 73 NC 27835 ▲Greenville, 2018 SCHOLARSHIP APPLICATION *(Please TYPE)* Name: Address: (Street Address) (City) (State) Zip Code) Telephone Number: Email Address (h) ____(c) ____________ ________ Parent/Guardian Names: email address (es): ______________________________________________________________ Parent’s High School: Cumulative GPA: ____________________________ Graduation date:_________________________ Community Service: Intended College: Formally Accepted: Yes No Intended Major: Leadership/Community Service Profile: List any activities (i.e. clubs, church, organizations, sports) in which you have been involved and any leadership roles held. You may attach a separate sheet if more space is needed. ORGANIZATION/ACTIVITY LEADERSHIP ROLE/OFFICE HELD DATES INVOLVED __________________________ _______________________________ ___________ ______ __________________________ _______________________________ __________ ______ Special Honors or Recognition (e.g., academic, church, community, sports) Please include any scholarship(s) awarded to you.
P.O. Box 73 ▲Greenville, NC 27835 2018 SCHOLARSHIP APPLICATION *(Please TYPE)* Name: Address: (Street Address) (City) (State) Zip Code) Telephone Number: (h) ____(c) ____________ Email Address ________ Parent/Guardian Names: Parent’s email address (es): ______________________________________________________________ High School: Cumulative GPA: ____________________________ Graduation date:_________________________ Community Service: Intended College: Formally Accepted: Yes No Intended Major: Leadership/Community Service Profile: List any activities (i.e. clubs, church, organizations, sports) in which you have been involved and any leadership roles held. You may attach a separate sheet if more space is needed. ORGANIZATION/ACTIVITY LEADERSHIP ROLE/OFFICE HELD DATES INVOLVED __________________________ _______________________________ ___________ ______ __________________________ _______________________________ __________ ______ Special Honors or Recognition (e.g., academic, church, community, sports) Please include any scholarship(s) awarded to you.
GAC%20scholarship%20application%20(2018).docx