Fountain City Classic Scholarship Application

FCC Scholarship Application
Upload Headshot*
CHOOSE SCHOLARSHIP FOR APPLICATION: Applicant may only apply for 1 scholarship opportunity. Eligibility criteria listed above. Please select 1*

Fountain City Classic Community ScholarshipFountain City Classic Host Committee Scholarship
APPLICANT INFORMATION:
Full Name*
Age*
Date of Birth*

MonthDayYear
Date
Name of School*
City/State of School*
Grade Level*
Year of High School Graduation*
GPA*
SAT/ACT Score
Home Street Address*
City*
State*
Zip*
Email*
example@example.com
Cell Phone Number
Please enter a valid phone number.
List Leadership and Community Service*
List School and Community Involvement*
List any Leadership Position(s) Held*

HOUSEHOLD DEMOGRAPHIC INFORMATION:
Guardian’s Full Name*
Guardian Relationship (Mother, Father, Grandparent, Other)*
Guardian’s Phone Number*
Please enter a valid phone number.
Guardian’s Email*
example@example.com
Guardian’s Job Title and Employer*
Number of children under 18 in household where you reside (Include yourself)*
Names and ages of children under 18 in the household where you reside (Please enter each sibling's name and age separated by a comma from the next sibling.)*
Household Income*
Are you a candidate for another type of scholarship?*

YesNo
If Yes, What type of scholarship? (Academic/Athletic/Community/Other)*
When are you planning to enter college? (List year/month)*
Which college are you planning to attend?*
Have you been accepted?*

YesNo

PERSONAL REFERENCES INFORMATION:

Please include all 3:
Teacher
Full Name*
Phone Number*
Email*
example@example.com
Counselor
Full Name*
Phone Number*
Email*
example@example.com
Community Contact
Full Name*
Phone Number*
Email*
example@example.com
SCHOLARSHIP ESSAY QUESTION:
Please attach a 300 word maximum essay answering the question, “Why do I want to attend college?”
Essay Attachment*

Cancelof
Should be Empty:

FCC Scholarship Application