Seigle Scholar Application

Heading
Name*

First NameLast Name
Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Academic Information
High School Name*
High School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Expected Graduation Date*

MonthDayYear
Cumulative GPA*
ECC Intended Major/Field of Study*
Intended Major/Field of Study for 4-year Degree Pursuit*
Community Service Information
Please describe your community service involvement. Include the following details:
- Description of the activities or projects you were involved in.
- Your role and responsibilities.
- Duration of your involvement (dates and hours).
- The impact of your work on the community.
Please attach your answers to this application.
Upload Your Answers Here*

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Essay
Please write an essay (300 word maximum, double-spaced) on the following topic:

"How has your community service experience influenced your career goals and personal development?"

Please attach your essay to this application.
Upload Your Essay Here*

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Letters of Recommendation
Please provide two letters of recommendation from individuals who can speak to your community service, academic achievements, and your character. These can be from teachers, mentors, or community leaders.
Upload Your Letters of Recommendation Here*

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Transcript
Please attach an official high school transcript.
Upload High School Transcripts Here*

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Certification
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false information may result in the revocation of any scholarship awarded.
Signature*

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Date*

MonthDayYear
Should be Empty:

Heading

Academic Information

Community Service Information

Essay

Letters of Recommendation

Transcript

Certification