Scholarship Application

Leaders Education Foundation Scholarship Application
Complete the entire online application. Please have the required information ready before filling out the online application. Applications cannot be saved and should be completed at one time. For a list of requirements, visit leadersgives.org/scholarships.
Scholarship Selection*
Please select the scholarship(s) you are applying for (check all that apply):
- Financial Wellness Video Scholarship- $2,500
- Leaders Credit Union- Martha Britt Scholarship- $1,000
- Town & Country REALTORS® Scholarship- $1,000
- Ellis Insurance Agency Scholarship- $1,000
- JMCSS Founders Scholarship- $1,500
- Workforce Development Scholarship- $1,000
- Community Scholarship- $1,000
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Applicant's Phone Number*
Applicant's Email*
Parent/Guardian #1 Name*
First Last
Parent/Guardian #1 Phone Number*
Parent/Guardian #1 Email*
Parent/Guardian #2 Name
First Last
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Email
Membership Requirement*
The application requires that the student (applicant) or the applicant's parent or grandparent be a member of Leaders Education Foundation or of Leaders Credit Union in good standing. Please list the name of the member (applicant, parent or grandparent). Become a member of Leaders Education Foundation, visit leadersgives.org.
First Last
Memberships*
- Member of Leaders Education Foundation
- Member of Leaders Credit Union
Member's Relationship to Applicant*
- Parent
- Grandparent
- Student (Applicant) Member
High School Name*
Guidance Counselor's Name*
First Last
Guidance Counselor's Email*

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General Student Information
Current GPA (on a 4.0 scale)*
Please enter a number from 0 to 5.0.
ACT Score*
If unable to take ACT due to covid-19 restrictions, please put a 0.
ACT Score
If you were unable to take the ACT due to covid-19 restrictions, please explain below.
Academic Achievements
Please list any academic awards or achievements and the dates associated with each.
Extracurricular Activities & Organizations*
Please list any club or organizations that you are involved with in your community, school or church etc., including any offices held, and other volunteer efforts.
Have you ever been employed?*
- Yes
- No
Current Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY

Leave this blank if you are still working for this employer.
Workplace Responsibilities
Please briefly describe your role and responsibilities at your workplace. (If you do not have an employment history, please leave this blank).
Additional Employment Experience
- Yes
- No
Prior Employer
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY

Leave this blank if you are still working for this employer.
Workplace Responsibilities
Please briefly describe your role and responsibilities at your workplace. (If you do not have an employment history, please leave this blank).

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College or Program Information
College or program acceptance is required.
Have you been accepted to a college or university and/or to a trade or vocational program?*
- Yes
- No
Name of College, University, or Vocational/Trade School or Program you plan to attend:*
(if undecided, type N/A and complete next question)
If undecided, please list your top three (3) choices at which you have already been accepted:
Financial Information
Full Tuition Cost (annual)*
Additional Costs (books, fees, travel etc.)
Total Amount of Expected Financial Aid
List of scholarships, grants, or loans for which you have applied including name and amount:
Parent/Guardian #1 Yearly Income
Tax Form 1040 Line #22
Parent/Guardian #2 Yearly Income
Tax Form 1040 Line #22

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General Questions
Please complete the questions below to the best of your ability. There is not a character count requirement.
Question #1
Describe any special circumstances that may affect your ability to pay for your college tuition.
Question #2*
Why do you feel you should be considered for one of Leaders Education Foundation Scholarship(s)?
Question #3*
What are your educational goals and how will your educational choices affect the rest of your career?
Question #4*
Explain whether or not you feel it is important to manage money and debt wisely and how it can affect your future?

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Financial Wellness Video Scholarship’s YouTube Link
Please post the link to the Financial Wellness Video Scholarship here. Please make sure the video is not listed as private.
Transcripts*
Accepted file types: jpg, png, pdf.
High School Transcripts. An official transcript is not required. Accepted file types are jpg, png, pdf.
Senior or Official Picture*
Accepted file types: jpg, png, pdf.
Please upload a formal picture or senior picture. Exclude any cropped or edited images with graphics overlayed on them. Pictures are not used in scholarship determination, only in scholarship announcements. Accepted file types are jpg, png, pdf.
Proof of College/University or Trade/Vocational Program Acceptance*
Accepted file types: jpg, png, pdf.
Copy of acceptance letter or other proof. An official letter is not required. Accepted file types are jpg, png, pdf.
Letter of Recommendation (non-relative)*
Accepted file types: doc, jpg, png, pdf.
Please upload a letter of recommendation from a non-relative. Accepted file types are doc, jpg, png, pdf.
Completed Application*
To the best of my knowledge, the information in this application is complete and correct. I understand that any missing information within the application will result in disqualification. Leaders Education Foundation is under no obligation to contact applicants regarding missing information.
- I agree that I have submitted a complete application.
Consent*
To the best of my knowledge, the information in this application is complete and correct. I understand that the purpose of this application is to apply for a one-time scholarship to aid in the payment of my tuition and/or educational expenses for the college/university or trade/vocational program listed in my application. This application in no way guarantees the receipt of scholarship monies or the amount of the scholarship for the selected scholarship(s). By applying for the selected scholarship(s), I represent that I’m 18 years of age or older or that I’m the parent/legal guardian of the applicant and I consent to the use of the applicant's submitted photograph, name and likeness in Leaders Education Foundation's and/or Leaders Credit Union's promotional materials and social media channels.
I agree to the terms above.
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Scholarship Form

Step 1 of 5

Leaders Education Foundation Scholarship Application

General Student Information

College or Program Information

Financial Information

General Questions