MARY K. GARR SCHOLARSHIP APPLICATION

Mary K. Garr Scholarship Application

This application requires nomination by school counselor or representative.

First Name

Last Name

Date of Birth (MM/DD/YYYY)

Name of Parent(s) or Guardian(s)

Gender

Female
Male
Other
Prefer not to say

Phone

Are you a U.S. Citizen?

Address

Address 2

City

State

Zip

County

High School attended

College or University you wish to attend (top 3 choices)

Intended Major

Legal Guardians Adjusted Gross Income from 1040

Number of dependents on parents

Provide a brief summary of why you chose your intended course of study. (150 words or less.)

Upload your High School Transcripts (including SAT/ACT), Letter or Recommendation, Extra-Curricular Activities (i.e. Athletics, Social Clubs, St. Govt., Community Involvement, Honors, Awards, etc.) and Work Experience. Please include all years participating, offices held and recognition/honors. (.doc, .docx, .pdf)

Add another

Attach your essay. (.doc, .docx, .pdf)

Attach one letter of nomination from your high school counselor or principal (.doc, .docx, .pdf)

Provide acceptance letter from the college you plan to attend, if received. (.doc,.docx, .pdf)

All attachments above must not exceed 50 MB combined.

Have you received any scholarships?

Have you applied for any scholarships, if so which ones?

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MARY K. GARR SCHOLARSHIP APPLICATION

Mary K. Garr Scholarship Application

This application requires nomination by school counselor or representative.