Wichita Falls Area Community Foundation

807 8th Street, Suite 750    |    Wichita Falls, Texas 76301
940.766.0829    |    940.766.2861 fax
wfacf@wfacf.org
Fed. ID 75-2817894
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Scholarship Application

CONFIDENTIAL: A complete scholarship packet will include the following: application, high school official transcript, 3 references, your essay and financial information.

School:

Student:

Applicant Information:

First Name:

Last Name:

Middle Initial:

Telephone:

Alternate Telephone:

Mailing Address:

City:

State:

Zip:

Email:

Date of Birth:

Date Submitted:

Father's Name:

Father's Address (if different from above):

Father's Occupation:

Father's Employer:

Mother's Name:

Mother's Address (if different from above):

Mother's Employer:

Number of Children at home:

Ages:

Number of Children presently in College:

Ages:

Finanical Information:

Please complete the financial form. This must be completed at the time of application.

(Your progress will be saved before opening the Financial Form)

Other Information (Activities):

List any extracurricular activities (sports, volunteer, community, church, etc.)
in which you participated while in high school.

Activity	Years	Position/ Office Held	Recognition Received

Employment Information:

List details concerning present or past employment:

Employer	Dates of Employment	Approx # of hours worked per week

College Information:

College you plan to attend:

Academic Major:

Date Accepted:

High School Attended:

You must provide an official transcript from High School

SAT Score:

or ACT Score:

Reference Information:

Please provide three references:
Reference one (1) will be completed by a teacher and reference two (2) will be from a community leader. Reference number three (3) must be from a school counselor attesting to senior rigor for each student. Family, friends and relatives are not eligible to complete references.

(Your progress will be saved before opening the Reference Form)

Essay:

Please use essay form to write an essay. The essay should be no longer than 500 words and signed by you, the applicant.

In the space provided, discuss your educational plans as they relate to you personally and to your career goals. Include motivating factors or important experiences which have helped to shape your personal philosophy and /or your education plans/career goals. Include information that reflects your commitment to family, friends, and the greater community. Think carefully about this essay. It is very important in the selection process.

(Your progress will be saved before opening the Essay Form)

Other Scholarships Received/Applied For:

Name	Amount	Received Yes or No
		Received Pending
		Received Pending
		Received Pending
		Received Pending
		Received Pending
		Received Pending

I understand that this application will not be submitted on line. It is the applicant's responsibility to print and submit the application along with the supporting documents to the WFACF.

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