Suits for Seniors

First Name:

Last Name:

Phone:

Email:

Date of Birth:

Address:

City:

State:

Zipcode:

Ethnicity?

High School Attended?

Grade Level

What is your GPA?

Hours of community Service?

What was your SAT Score?

What was your ACT Score?

Have you applied for FASFA?

Intended Major and/or Profession?

Name of college? (If applicable)

Did you complete the Suits For Seniors Program?

YES

NO

Have you applied for college?

Yes

No

Have you received an acceptance letter from a University?

Yes

No

College Acceptance Letter

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What is your Post-secondary Path?

Are you currently employed?

Yes

No

Maybe

If yes, where were you employed?

What is your parents annual income?

$0-$40,000

$40,000-$85,000

$85,000 +

Tell us about a time you demonstrated leadership in your community or school.

How have the skills and knowledge you gained from the program helped you prepare for your future career path? Please share a specific example.

Please write a small portfolio about you and your accomplishments.

If you are awarded this scholarship, how will you use the funds to further your education and career goals? Be specific about expenses you plan to cover (e.g., tuition, fees, books, housing).

Is there any other information you would like to share that demonstrates your commitment to academic success and your future career aspirations?

If awarded this scholarship, would you be able to attend scholarship breakfast on July 27th at 10am?

Yes

No

Headshot

Attach Headshot Here

Acknowledgments:

I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits.

Opt in of having your scholarship information shared with scholarship committee.

Date

Student Signature (Print)

Date

Parent Signature (Print) (If under 18)

KEEP ME INFORMED

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