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 *

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? *

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

File Upload *

Click or drag a file to this area to upload.

Reference Letters

Include (3) letters of reference

File Upload *

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File Upload *

Click or drag a file to this area to upload.

File Upload *

Click or drag a file to this area to upload.