Scholarship Form – Vibrant Works

Applicant Information

Enter Name*

First Name Last Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Academic Information – Schools Attended

High school

City/State

Graduation date

College

City/State

Dates attended

Degree

College Major

GPA

What college/university/vocational program do you plan to attend?

How many hours do you plan to take per semester?

Are you attending full-time or part-time?

What year and semester do you plan to graduate?

Essay Question

Provide a 300 to 500 word typed, double spaced essay about you. Please include how the scholarship award would help you achieve your goal to attend college or a vocational program.

Essay Response

Release of Information & Acknowledgement

I/We authorize the San Antonio Lighthouse to release applicant information to possible donors, colleges/universities, and or the news media.

I/We understand that the decision of the Scholarship Committee is final and may not be appealed. The San Antonio Lighthouse/Scholarship Committee is not responsible for an incomplete application.

Applicant name*

First Last

Date*

Parent or guardian if applicant is minor

First Last

Date

Emma Freeman Scholarship Application

Applicant Information

Academic Information – Schools Attended

Essay Question

Release of Information & Acknowledgement

Are you or somebody you know experiencing vision loss?