CYAC 2023 Scholarship Application

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CYAC 2023 Scholarship Application

Step 1 of 3

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Applicant Information

Your Name(Required)

First Last

Parent or Guardian Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

High School Information(Required)

School Name Street Address City State / Province / Region ZIP / Postal Code Country

Fall 2023 School Plans

Please specify the school you plan on attending in the fall or list up to 3 schools to which applications have been made.

School Name (include City, State)(Required)

School Name (include City, State)

Major course of study(Required)

Anticipated Graduation Date(Required)

MM slash DD slash YYYY

Extra-curricular and volunteer activities

List extra-curricular and volunteer activities, including leadership positions held and service hours completed(Required)

List employment you have held during high school(Required)

Financial Need

Do you, or does anyone in your household qualify for free or reduced lunch program?

Yes

Personal Essay(Required)

Please complete a personal essay, not to exceed 500 words (2 type written pages), in which you discuss one of your volunteer activities, why you chose it and what you learned/gained from it. Your essay is an important evaluation criteria in our selection process. Upload your essay here.

Max. file size: 256 MB.

High School Transcript (Unofficial)(Required)

Your unofficial high school transcript must be submitted with your application. Please contact your high school’s guidance counselor for a copy of your unofficial transcript. Applications will only be considered in the presence of your unofficial transcript.

Max. file size: 256 MB.

Ready to Submit?(Required)

Please make sure all required fields are completed accurately. Are you ready to submit?

Ready to Submit!