Application Form

Application form

* Indicates required field

Name *

First

Last

Email *

Address, City, State, Zip *

Phone Number *

U.S. Citizen - Yes/No. If "No" explain *

School you plan to attend. *

Current School and Grade Level *

Gender *

Date of Birth *

Student Employed? If so, hours per week *

Students Objectives *

Financial Assistance Review: Please list tuition assistance you expect to receive from other
sources including aide or discounts from this school or any other source.

Comment *

Family information (required for students under 21 years)

Father/Guardian

Name *

Address *

Place of Employment *

Position *

Marital Status *

Email *

Phone number *

Discuss your objectives for your student. *

Mother/Guardian

Name *

Home Address *

Place of Employment *

Position *

Maritial Status *

Email *

Phone Number *

Discuss your objectives for your student *

Parents/Guardian

Please discuss your students developmental needs, strenghts, areas .of concern and areas of accomplishment *

Brothers or sisters residing in the same household, grade level and school attending *

Date *

Additional information may be submitted to Suttle-scholarshipfund@outlook.com

The following additional submission may be considered:
Academic Transcripts
Most recent report card
Scores from widely used standardized testing such as the ACT or SAT
Evidence of class ranking
Resume of applicant's activities in school, church, community and employment

ALL APPLICANTS MUST ALSO ENSURE THAT TWO LETTERS OF REFERENCE
ARE SUBMITTED DIRECTLY TO THE FUND BY PERSONS ASSOCIATED WITH THE
APPLICANT. This could include teachers, coaches, counselors, church leaders, etc., or
if appropriated employees of Gracewood or Children's Hope Program.

Submit