Form

Junior League Sustainer Scholarship Application (2023-2024 New Applicants)

* Checklist of items to be submitted with this application

Deadline Saturday, April 1, 2023

All of these may be attached at the bottom of this application

Two letters of reference

*One from an educator or employer

*One personal reference, non-relative

Official copy of transcript(s)

Essay

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If you prefer to submit traditionally use: Scholarship Application

Mailing Address: P.O. Box 866, Longview, TX 75606

Physical Address: 1109 North Fourth Street, Longview, TX 75601

Name

Street Address

Street Address 2

City

State

Zip Code

Cell Phone

Home Phone

Email Address

Name of High School/College Currently Attending

Unweighted GPA Based on a 4.0 Scale

ACT/SAT Score

Dual Credit Hours/College

Community Activities

Extracurricular Activities(Numbered 1-4)

Volunteer Work Other than Activities Organized by a School or Church(Number 1-4)

Participation in the Creation of a New Volunteer Opportunity(If Applicable), Describe the Purpose and Your Leadership Role

Leadership Positions in School, Extracurricular, Volunteer or Church(Number 1-4)

Honors Received(Number 1-4)

Advanced Courses, Duel Credit Courses or Gifted/Talented Programs Participated in During the Past 2 Years

Combined Family Income Last Year(Total of You, Your Parents' and/or Spouse's Income)

Your Employer(If Applicable)

Employer Address

Employer Phone

Father's Employer/Position(If Applicable)

Mother's Employer/Position(If Applicable)

Spouse's Employer/Position(If Applicable)

Ages of Children in Household

List Other Scholarships or Financial Aid You Have Applied For and List Dollar Amounts if Known

List Scholarship, Including FAFSA and PELL Grants You Have Been Awarded and the Dollar Amounts

By signing below, I confirm that all questions are answered and all information is accurate.

Signature

Date

Letter One Educator or Employer

Letter Two Personal Reference, Non-Relative

Official Copy of Transcript(s)

Essay

Recent Photo

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