2023 KHNA H-CORE HOPE SCHOLARSHIP APPLICATION

Last Name:Please enter your last name

First Name:Please enter your First Name

Mailing Address:

Street *

City: *

State: *

ZIP *

Daytime Telephone Number: *

Email Address : *

High School: *

High School City, State, Country

High School Graduation date: *

I will be attending the following school in the Fall of 2023: *

Address/ Phone *

What year will you enter school? *FreshmanSophomoreJuniorSenior

Will you be a full time student?(minimum 12 hrs.)

Housing plan during school

If you are not living on campus, where will you be living?

Grade Point Average (GPA): *(On a 4.0 scale)
Attach proof of GPA; your most recent official school transcript required.

ACT ScoreACT Score

SAT Score

A copy of your ACT or SAT score sheet on official high school transcript is required.

Name & address of parent(s) or legal guardian(s):Please include Street, City, State and Zip

List the name of any college you have attended.Year Began, Year Ended , Year Graduated, Type of Degree or grade received /Hours

Name

Year Began

Year Ended

Year Graduated

Type of Degree or grade received /Hours

What specialty/major do you plan to major in as you continue your education?

List other financial assistance you will receive per semester or quarter:

A. Personal: (currently working or work /study during school) Amount: $

B. Other Scholarship(s), Amount: $

C. Grants Amount: $

D. Student Loan(s) Amount: $

E. Other Financial Resources: ( to include parent contribution) Amount: $

SCHOOL EXTRA CURRICULAR ACTIVITIES: Please list school extracurricular activities in which you have participated. Note leadership roles and dates.

KHNA Organization: If you are affiliated with the KHNA Organization, please explain how are you affiliated?If you are NOT affiliated with the KHNA Organization, please enter "N/A"

ORGANIZATIONS: Please list community organizations such as service, volunteer and religious organizations in which you are now active or have previously been active. Note leadership roles and dates.

RECOGNITIONS: Please list important awards and recognitions received. Note organizations presenting honor and date.

GOALS: What are the short and long term goals for your life?

Add ReferencesPlease enter at least two references

NamePlease enter first and last name

Phone Number,

Email Address

Relationship to the Applicant

NEED: Please explain your need for the KHNA H-Core Scholarship

Please Upload the following documents

Most recent official high school or official college transcript.
Proof of college acceptance or current student enrollment.
250-500 word essay on: “Why I should receive the KHNA H-Core Scholarship.”
Demonstrate Financial Need (If selected, recipients may be asked to verify annual household income is under $100,000 by supplying page 1 of their and their parents 2022 tax form.)
Photo (Head Shot)

Upload the supporting documents listed above :

A. The following criteria must be met in order for the application to qualify to be reviewed by the scholarship committee.
B. Your application will not be considered if these items are not attached to this application. (No exceptions.)
C. Select “YES” or “NO” to be sure you have completed and attached each item as required.

Application complete. All questions are answered completely. *YesNo

Two references *YesNo

Proof of college acceptance or current student enrollment. A letter of college enrollment or program enrollment is required for receipt of funds.YesNo

Most recent official high school or official college transcript. Photocopies of your transcript are not acceptable. Photocopies of your transcript are acceptable, if transcript is signed by a guidance counselor or principal.YesNo

250-500 word essay on: “Why I should receive the KHNA H-Core Scholarship.” Must be at least 1-2 pages, typed, double-spaced, and 12 pt / Time New Roman font. Please ensure your essay contains no grammatical errors. *YesNo

Photo (Head Shot) *YesNoAccepts only jpg format

HTML

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me to the KHNA H-Core Scholarship Committee is true, correct and without forgery. I also consent that my picture may be used for any purpose deemed necessary to promote the KHNA H-Core Hope Scholarship Program.

I hereby understand that if chosen as a scholarship winner, I must provide evidence of enrollment/registration at the post-secondary institution of my choice, must verify financial need before scholarship funds can be awarded, and must provide a thank you letter to the scholarship sponsor.

Check to accept the above terms and conditions *

YesNo

Printed Name: *

Date: *