Name * First Last Home Address * Address Line 1 * Address Line 2 City * State * Zip Code * Parents/Guardians Name * High School Graduation Date * Class Rank * GPA * Number of Children in Your Family Attending Post-Secondary School * List Extra-Curricular Activities, Honor and/or Awards You Received in High School (You may attach additional paper if necessary) * Check here if you upload addition files below. Files Uploaded File Upload (for additional extra-curricular activities submitted) Select File(s) PDF Files under 2 MB Only Name of School You Will Attend * Reasons for Selecting This School * Intended Major * When Do You Expect to Complete College? * Briefly State Your General Education Plans and Ambitions * What are your work experiences? * How do you meet the Church's Mission Statement? * Financial Information Average Annual Educational Expenses Please provide an average amount expected for a school year. Tuition & Fees $ * Room & Board $ * Books $ * Travel $ * Miscellaneous $ * Total Average Annual Education Expenses (total all above) $ * This form does not total automatically, please enter the total. Scholarship Grant Requested * Please tell us what amount of scholarship grant you are requesting. Please list any extenuating circumstances we should know about. I DECLARE THAT THE INFORMATION REPORTED ON THIS STATEMENT, TO BE THE BEST OF MY KNOWLEDGE AND BELIEF, IS TRUE AND COMPLETE. Student Signature * Clear Date * mm/dd/yy