Scholarship Application

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Before beginning the application, please have the following information and documents ready to submit:

  • A high school transcript showing at least a 3.0 GPA and ACT score.
  • 3 letters of recommendation
  • A headshot photograph
  • MLEA Account Number
  • Breakdown of previously awarded or anticipated scholarships, grants, loans, etc.

If applying for the Grant J Earl Scholarship, please also have one of the following two options ready to submit:

  • Letter and Photo documenting your community project
  • 1 page single spaced essay.

Personal Information

Parent/Guardian Information

High School Information

Source of Funds

Please provide estimates regarding how much assistance you will receive from each source:

Parents or Personal Savings:

$

Scholarships:

$

Grants:

$

Loans:

$

Other:

$

Scholarship Selection

Which of the following scholarships are you applying for?

Tell us about yourself

Please tell us briefly about your life, including your interests and hobbies.

Career Goals
Please outline your career goals, and plans to achieve them.

Community Involvement
List any community involvement, including school or local clubs.

Why you?
Please tell us why you are the best candidate for this assistance.

Information Verification
Please verify the following information before submitting. If it is incorrect, please go back to the appropriate section and update the information.

First Name: 

Last Name: 

Mailing Address: 

City: 

State: 

Zip: 

Date of Birth: 

Email: 

Home Phone: 

Cell Phone: 

Guardian First Name: 

Guardian Last Name: 

Guardian Address: 

City: 

State: 

Zip: 

MLEA Account: 

High School: 

Principal: 

Counselor: 

Counselor Phone: 

Funded from Savings: $

Funded from Scholarships: $

Funded from Grants: $

Funded from Loans: $

Other Funds: $

General Supporting Documentation

Please add your supporting documents.

File Name:

File Name:

File Name:

File Name:

File Name:

Grant J Earl Scholarship Supporting Documentation

Please add your supporting documents.

File Name:

File Name:

File Name:

E-Sign Consent

To complete your application, your signature will be required. For your convenience, we offer the ability to E-Sign this application.

By choosing to E-Sign below, you will be taken to an E-Sign confirmation page.

If you choose not to E-Sign your application, you will need to make arrangements to sign your application in person before March 15th, 2023.

How would you like to sign your application?

Application E-Signature

By clicking "I Accept" below, I certify that all answers to the preceding questions are true and correct. I understand that any false answers or deliberate omission may be grounds for rejection of this application, and withdrawal of any award granted.

I agree that the electronic signature on this application is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

Selecting "I Decline" will be considered refusal to E-Sign, and will require a physical signature to complete your application prior to March 15, 2023.

Photo and Video Consent and Release

Please review the linked document below:

Photo and Video Consent and Release Form

By clicking "I Accept" below, you are digitally signing a copy of this document. I agree that the electronic signature on this form is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.

Selecting "I Decline" will be considered refusal to E-Sign, and will require a physical signature to complete your application prior to March 15, 2023.

Your Application is Processing. Please Wait...

Photo and Video Consent and Release

Please download and review the linked document below. A signed copy of this form, including your guardian’s signature, must be received before March 15, 2023 for your application to be considered.

Photo and Video Consent and Release Form

Your Application is Processing. Please Wait...

Thank you for your submission!

Applications will not be evaluated until after the submission deadline of March 15, 2023.

You will be contacted once a decision has been made on your application. Decisions will be made based on merits and needs of applicant, which may include an interview.

Please contact Chelsea Wilkerson (435) 722-5472 if you have further questions, or need to make adjustments prior to the deadline of March 15, 2023.

To exit the application, please click on the grey areas outside the application box.

Thank you for your submission!

As physical signatures are required for your application, please contact Chelsea Wilkerson (435) 722-5472 to make arrangements to obtain a physical signature.

Your application must be signed and returned by 11:59 pm on March 15, 2023. No late or incomplete submissions will be accepted.

Applications will not be evaluated until after the submission deadline. You will be contacted once a decision has been made on your application.

Decisions will be made based on merits and needs of applicant, which may include an interview.

To exit the application, please click on the grey areas outside the application box.