APPLICATION | Dale Krueger Scholarship

SCHOLARSHIP APPLICATION

Dale Krueger Scholarship Application Form

Applications are accepted between January 1 and April 1.

Before completing the following Application Form, please visit the Scholarship page to review scholarship rules and to verify that you are eligible to apply.

You must fill out the following application completely and submit at one time. Your information will not be saved if you leave the site before submiting your application.

Personal Information

First Name

Middle Name

Last Name

Date Of Birth--

Contact Information

Address

City

State

Zip

Phone

Parent/Guardian First Name

Parent/Guardian Last Name

School Information

College(s)/School(s) you plan to attend

Proposed Major

Indicate your class in college next fall

High School Attended

Date of High School Graduation--

High School GPA

Post High School GPA (if applicable)

Financial Information

Total Family Income

Annual expected expenses of applicant
(tuition, books & fees only. Do not include room & board.) You can determine expenses for your school at collegeboard.org)

Are any other family members being supported in continuing education?

If so, how many?

PDF Documents

Only PDF files will be accepted. Each PDF file must be less than 2MB.

Upload Transcript

Attach a current high school transcript. If you are currently attending a post-secondary program, attach your most recent official transcript and proof of high school graduation.

Upload Statement of Goals

Submit a statement of your goals summarizing your reasons for your desire to continue your education, your tentative career goals and how this scholarship will assist with your financial obligations (Please limit this statement to one page).

Upload Personal Statement

Submit a resume or summary of who you are, including school and community activities, sports, recognitions and accomplishments. Include approximate dates and number of hours when listing community service or employment items on a resume or activities chart. Please also include any unusual circumstances.

Upload College Transcript

If you are currently a senior in high school and you wish to include a transcript showing additional college credit you have earned through a local community college, please upload here. If you are currently a college student, please attach an official college transcript here. You will need to submit a college transcript in addition to your high school transcript.

Additional Material

You may submit photos, awards and/or samples of work which demonstrate your high school achievements or future goals to your designated high school counselor. Limit additional material to 10 single-sided pages or 5 double-sided pages. Please check with your school to find out if this is required or not.

Certification

I certify that the information contained on this form is accurate and complete, to the best of my knowledge.

Signature