scholarship-application

First Name *

Middle Name

Last Name

Preferred Name

Street Address *

Address Line 2

City *

State / Province / Region *

ZIP / Postal Code *

Date of Birth *

Best Phone Number to Reach You *

Is this a mobile phone? *

Yes

Alternative Phone Number

Email That is Checked Regularly *

High School Name *

High School Graduation Year *

Please upload your high school transcripts complete with cumulative GPA *

What Missouri college/vocational trade school do you plan to attend?* *

What semester do you plan to begin attending this school? *

Indicate your classification for the term you are requesting funding (i.e. Freshman) *

What academic degree/major will you be pursuing? *

Anticipated college/trade school graduation date (Month/Year)

Other

Are you a US citizen? *

Yes

Parent/Guardian 1 First Name *

Parent/Guardian 1 Last Name *

Parent/Guardian 1 Street Address *

Address Line 2

City

State / Province / Region

ZIP / Postal Code *

Parent/Guardian 1 Phone Number *

Parent/Guardian 2 First Name *

Parent/Guardian 2 Last Name *

Parent/Guardian 2 Street Address *

Address Line 2

City

State / Province / Region

ZIP / Postal Code *

Parent/Guardian 2 Phone Number *

Your Eligibility Statement

To be eligible for a GP M.A.D.E. Foundation scholarship, an individual must: A) Show financial need B) Possess the motivation to succeed, and C) Be of good character. Please describe below how you meet each of the above three criteria.

Personal Profile and Goals

Please upload a personal profile introducing yourself, explaining your goals, and describing why you feel you should receive a GP M.A.D.E. Foundation Scholarship.

First Recommendation First Name *

First Recommendation Last Name *

Email *

Second Recommendation First Name *

Second Recommendation Last Name *

Email *

Photo Release and Consent Form *

I hereby consent to the use of photographic image and/or name by the GP M.A.D.E. Foundation Inc. in any printed form or on any website or social media application of the Foundation. I further that the Foundation is free to select, crop or otherwise alter any photographs or videos without prior consultation with me. I understand that I am donating and assigning all copyrights or other intellectual property rights to such photographic images or videos, and that there will be no payment or compensation for the photographs, videos, or their use.

In giving my consent, I agree that I shall not bring or file any complaints, claims or causes of action of any kind against and release the GP M.A.D.E. Foundation Inc. for any matter in connection with the use of my photographs, videos and name.

Parent Signature *

Date *

Student Signature *

Date *

Applicant Signature *

By entering my full name below, I authorize the GP M.A.D.E. Foundation and their agents to examine, verify and discuss my academic and other information that apply to the consideration on this application. I certify that all answers are accurate and truthful to the best of my knowledge, and that all information in the application and essays are my own work. I understand that the decisions made regarding my participation in this program are made by GP M.A.D.E. Foundation, in reliance upon the truth and correctness of my statements.

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Scholarship Application

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