2021 Annual KBOR Scholarship

Applicant Data

Applicant Name *

First

Last

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

County of Residence *

Phone *

Email *

Last (4) Digits of Social Security Number *

Family Data

Father's Name

First

Last

Father's Address

Address Line 1

Address Line 2

City

State

Zip Code

Mother's Name

First

Last

Mother's Address

Address Line 1

Address Line 2

City

State

Zip Code

Number of Brothers and Sisters: *

Scholarship Data

Note: All of the following must be uploaded before being submitted.

FAFSA Form or Tax Return *

Click or drag files to this area to upload. You can upload up to 10 files.

School Transcript *

Click or drag files to this area to upload. You can upload up to 10 files.

Letters of Recommendation (Non-Relatives) Minimum of (3) *

Click or drag files to this area to upload. You can upload up to 10 files.

Are you a previous recipient of this Scholarship? *

Financial Data:

** Please Enter in Your Estimated School Costs Below:

Tuition:

Room and Board:

Please describe any other School Costs:

Checkboxes

I have no school costs.
I'm not sure.

Total Estimated School Costs:

Financial Data:

** Please Enter in Your Estimated Resources Below:

From Student:

From Parents:

Please describe any other Financial Resources:

Checkboxes

I have no financial resources.
I'm not sure.

Total Estimated Resources:

Please share any unusual family/personal financial circumstances that will impact your tuition resources:

Upload additional files here if needed.

Click or drag files to this area to upload. You can upload up to 10 files.

School Data

Elementary School(s) *

High School(s) *

GPA *

SAT Score *

Are you a 21st Century Scholar? *

Post High School Data

Are you currently attending college?

School you plan to attend in 2021: *

Have you been accepted? *

Major Field of Study *

Planned enrollment status next year: *

Indicate housing plan: *

Anticipated Graduation date: *

Vocational objective upon Graduation: *

Work Experience Data

Document any paid part-time and/or full-time work experience during the past (4) years. Please Include: Employer, Position, Length of Employment and Hours Worked Per Week

Upload additional files and/or resume here if needed.

Click or drag files to this area to upload. You can upload up to 10 files.

Awards Data

List any awards, scholarships, publications or special recognition's you have received. List in descending order of significance.

Upload additional files here if needed.

Click or drag a file to this area to upload.

Extracurricular Activities Data

List and describe all extracurricular activity including community, social and church activities you have may have participated in during the past four years.

Special Note: One of the three $1,000 Scholarships will be designated as the “Spirit of the Heart” Scholarship. It will Honor REALTOR® Professionals Who Have Been Lost That Touched Their Community Throughout Their Lives. KBOR hopes to be passing on the spirit of mission and purpose with this specially designated Scholarship.

Upload additional files here if needed.

Click or drag a file to this area to upload.

Personal Essay

Briefly describe the person who has been most influential in your life and how they assisted you in your life decisions. Also, please express your personal reasons for desiring a post-high school education including what you hope to be doing in your life five years from graduation.

Upload additional files here if needed.

Click or drag files to this area to upload. You can upload up to 10 files.

Statement of Accuracy By Applicant

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that if chosen as a scholarship winner my picture may be taken and used by the Kosciusko Board of REALTORS® in promotion of the scholarship program. (Winner may waive photo due to unusual or compelling circumstances.) I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete application will not be considered for consideration. My signature indicates my permission to release all personal and academic records to the Kosciusko Board of REALTORS® Scholarship Committee. If the applicant is under 18 years of age, a parent’s signature is also required.

Name of Scholarship Applicant *

First

Last

Date

Name of Parent if Needed:

First

Last

Date

Checklist

Completed Application
FAFSA Form (All Pages) or Tax Return
School Transcript
Letters of Recommendation (Non-Relatives) Minimum of (3)
Personal Essay in Your Own Hand Writing

Questions or Comments:

Kosciusko Board of REALTORS® 2021 Scholarship Program Is Underway

Helping the Youth of Kosciusko County Reach Their Dreams

Applicant Data

Family Data

Scholarship Data

Financial Data:

Financial Data:

School Data

Post High School Data

Work Experience Data

Awards Data

Extracurricular Activities Data

Personal Essay

Statement of Accuracy By Applicant

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