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Before you begin, please review General Information and Scholarship Requirements as seen on the Scholarships Page.

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Scholarship Application

Download Paper Application

or Submit Online Application Here:

First, Middle Name*

Last name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Email*

Phone*

Birthday

Month

Day

Year

High School/ College

Gender*

Name of Guardian

Address

Did any of your relatives attend Lincoln William Grant? If yes, please enter their name.*

This is a checkbox.

Annual Household Income*

Less than $25,000

$25,000-$50,000

$50,000-$75,000

$75,000-$100,000

Above $100,000

Select which Scholarships that you are applying for:

LWG Legacy (A family member must have attended LWG)

Nancy C Riley-Walton Memorial Scholarship

Charles F James, Sr Scholarship

1. Explain any unusual expenses, debts, or special circumstances (hardship) that are relevant to consideration for this scholarship. *

2. List and describe any type of community services performed. *

3.List your extra-curricular high school activities below.*

Sports

Band

Social Club(s)

Languages

None

Other

4. List your extra-curricular high school activities below. What effect did they have on your growth? Why did you choose these activities? *

5.Essay Requirement (500 WORDS OR LESS): Please give a brief description of your family background, and indicate why you want to attend college. Include your personal, professional goals for the future, and your plans after*

School Transcripts

Reference Letter (1)

Reference Letter (2)

Reference Letter (3)

I hereby certify that the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that could otherwise jeopardize consideration of this application.*

I understand

Furthermore, by signing this application, I understand that ALL items required for a complete application must be included with this application in order that I may be considered for a Lincoln/William Grant Legacy Scholarship Award, a Dr. Nancy C. Riley W*

I understand

How did you hear about us?*

Friends

Social Media

Other

Print Name (Signature)

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