Vicky’s Scholarship Application 2023 Vicky’s Fund - Many Mansions Scholarship 2023 Application Form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Property* Date of Birth* Home Phone*Mobile Phone*Email Address* High School* (Projected) Graduation Date* Current College or Technical School* (Projected) Graduation Date* What are your post-high school educational plans?Community College (Name) Four-Year College (Name) Technical or Trade School (Name) Extra-curricular activitesList extra-curricular, volunteer and/or school activities in which you have participated during your school years, if applicable. (e.g. athletics, school, community, youth groups, etc.)*List full- or part-time jobs you have held in the past 2 years, if applicable.Employer #1 Position Dates Employer #2 Position Dates List any honors or awards you have received, if applicable.What are some of your life-long goals?*If you receive a Vicky’s Scholarship, how would you use it?*Recommendation Letter *Accepted file types: word, pdf, jpg, Max. file size: 5 MB.One letter of recommendation is REQUIRED for new applicants. Please upload a PDF letter.PhoneThis field is for validation purposes and should be left unchanged. Δ Vicky’s Fund - Many Mansions Scholarship 2023 Application Form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Property* Date of Birth* Home Phone*Mobile Phone*Email Address* High School* (Projected) Graduation Date* Current College or Technical School* (Projected) Graduation Date* What are your post-high school educational plans?Community College (Name) Four-Year College (Name) Technical or Trade School (Name) Extra-curricular activitesList extra-curricular, volunteer and/or school activities in which you have participated during your school years, if applicable. (e.g. athletics, school, community, youth groups, etc.)*List full- or part-time jobs you have held in the past 2 years, if applicable.Employer #1 Position Dates Employer #2 Position Dates List any honors or awards you have received, if applicable.What are some of your life-long goals?*If you receive a Vicky’s Scholarship, how would you use it?*Recommendation Letter *Accepted file types: word, pdf, jpg, Max. file size: 5 MB.One letter of recommendation is REQUIRED for new applicants. Please upload a PDF letter.CommentsThis field is for validation purposes and should be left unchanged. Δ
