Educational Grant/Scholarship Application

Thank you for applying with Florida Human Services! After application review, someone will contact you if you are a selected recipient.

Full Name*

Birthdate*

Birthdate

E-mail*

Are you a U.S. Citizen

Yes
No

Phone Number*

Are you a first generation college student?*

Expected Graduation Date*

Year of Graduation or GED*

Name of HighSchool Attended*

High School Activities, Community Activities, Volunteer Work, Honors, Offices Held*

ACT Composite/Overall Score and/or SAT Score*

College that you plan to attend?*

Have you recieved other scholarships?*

If yes, please indicate the amount of scholarship money that you will receive:*

Do you qualify for financial aid?*

Do you qualify for a pell grant?*

Please indicate which clubs, organizations or varsity sports that you participated in during highschool*

Please indicate any clubs, organizations or sports that you plan to participate in college*

250 Word Essay: Why do you feel this opportunity will impact your life and what do you plan to do with the knowledge and experience you gain? Please also include the most influential person in your life and why you chose them.*

Essay Upload*

Thank you for applying with Florida Human Services! After application review, you will be notified if you are a selected recipient.

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