2023 Scholarship Application

Applicant Name (Full Legal Name)

Current Mailing Address (Where your check will be mailed)

Street or PO Box Address

City

State

Zip Code

Email address

Phone Number with area code

College/University you will be attending

Proposed major field(s) of study

For High School Seniors Only

High School Name

High School GPA Cumulative

Senior Class Rank

Date of Graduation

ACT and/or SAT Scores

Proof of acceptance into college/university

Completed by Students Currently In College

Credit Hours Earned

GPA

Proposed Graduation Date

Local Newspaper

Name of local newspaper

Contact information for local paper

Cactus Employee

Cactus Employee Name

Location

Relation of Employee to the Applicant (i.e. parent, grandparent)

Please Attach (Your application will be considered incomplete without the following attachments)

Personal Statement expressing your educational, personal, and career goals. Include any special talents or abilities that might help you in achieving these goals

Current Transcript (High School or College)

Two Letters of Reference from a non-family member

Letter of Reference #1

Letter of Reference #2

Photo of yourself that can be used for promotion of this scholarship

Provide a bio of 150 words or less to be used in media should you be named a scholarship recipient. Include your name, hometown, parents' names, school, activities, and career goals.

2023 Scholarship Application

>