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STEP scholarship application

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STEP Scholarship Application

This form is for general questions about the applicant.  Applicant must be a 2022 high school, homeschooled student* graduate by July, 1 2022. Applicant must permanently reside in Hardin, Jefferson or Orange counties. A follow up interview is likely.

Scholarship amount ($500-$1000) is dependent on donations received by July 1, 2022 and the number of applicants.

* As defined by HSLDA--Receiving 50% or more of academic training at home under direct supervision of parent. 

Application must be submitted by May 31, 2022

 

Student Information

1. *

Applicant Full Name

2. *

Complete Mailing Address

3. *

Email Address

4. *

Cell/Home phone number

5. *

date of birth mm/dd/yyyy

6. *

Date you began homeschooling  mm/yyyy

7. *

Years homeschooled (mm/yyyy)-(mm/yyyy)

If other schools were attended between, list all dates and list other schools below

8. 

Other schools attended and dates (mm/yyyy)

9. *

Were you a homeschooled* student during the past 1 full year (2021-2022)?

*To be considered homeschooled, 50% or more of your academic training must be received at home through parent or guardian.

Academic and Activity Information

Test Scores

(Add scores only to those you have taken. Leave others blank.)

10. 

ACT

11. 

SAT

12. 

TSI

13. 

CLT

14. 

Other--(enter name of exam and score)

15. *

Date of anticipated graduation  mm/dd/yyyy

16. *

High School Transcript or GED Certificate

Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip
17. *

High School Cummulative GPA

18. 

List awards and honors (academic and otherwise) received during high school and date received:

 

19. 

List organizations in which you were a member during high school along with position(s) held in each.

20. 

If you work(ed) during high school, list jobs and dates held below: 

21. *

Briefly tell us about yourself, your short and long term goals  (500 words maximum)

Parent/Guardian Information

22. *

Is your family a current member of Lighthouse Home School Support?

23. *

Father's full name (father)

24. 

Mailing Address (if different from above)

25. *

Email Address

26. *

Cell/home phone number

27. *

Mother's full name

28. 

Mailing address (if different from above)

29. *

Email Address

30. *

Cell/home phone number

Financial Information

31. *

Family's joint annual income (parents only)

32. *

Student annual income (if you are employed)

33. *

Other scholarships received (Answer "none" if none have been offered.)

34. *

FAFSA completed? (yes, no)

35. *

SAR from FAFSA

SAR is required and will be requested at interview if you have not completed it at this time.

Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip

References

36. *

Name and email of personal reference (non-related)

37. *

Name and email of academic reference (non-related)

__________________________________________________________________________________________________________________________________________________________

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE. 

38. *

Enter name below to sign

39. *

Date (mm/dd/yyyy)