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Please submit the application no later than March 1st 2024

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Current High School

GPA

SAT Score

Father's Occupation/Employer

Mother's Occupation/Employer

Number of Siblings

Ages of Siblings

Number of Siblings Attending College

Which colleges do they attend?

What will be your College Major

Which College do you plan to attend?

What are your college plans?

Indicate any financial circumstances of which the committee should be aware.

List High School Activities (athletics, clubs, etc.)

Please list any awards/honors or office positions you have held

List part-time or full-time jobs you have held in the past 3 years.

List any volunteer service/community involvement you performed in the past 3 years and length of service.

Do you have any experience with individuals with disabilities? If so explain.

LWSRA is a special recreation agency. Our vision is to provide a community without limits. What does this mean to you and how could you be part of the vision?

Composition

Attach a 150-200 word composition listing the following details: 1. My goals for the future 2. Why higher education is important to achieving my goals

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Reference Letters

Include (3) letters of reference

File Upload

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File Upload

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File Upload

Click or drag a file to this area to upload.