Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please submit the application no later than March 1st 2026Please note you will NOT be able to save your progress and return to the form later to complete it. Please read through and ensure you have all items needed prior to entering your info into the form.Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *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? *CompositionAttach a 150-200 word composition listing the following details: 1. My goals for the future 2. Why higher education is important to achieving my goalsFile Upload * Drag & Drop Files, Choose Files to Upload Accepted file types: .pdf, .doc, .docx, .png, .jpgReference LettersInclude (3) letters of referenceFile Upload * Drag & Drop Files, Choose Files to Upload Accepted file types: .pdf, .doc, .docx, .png, .jpgFile Upload * Drag & Drop Files, Choose Files to Upload File Upload * Drag & Drop Files, Choose Files to Upload Submit
