The Neuse Scholarship

Neuse Scholarship Application

APPLICANT INFORMATION
List Johnston County School(s) attended:*
This application is open to students who attend a Johnston County, North Carolina public school.
Applicant’s Full Name:
Full Home Address (including City, Zip)
Mailing Address (if different):
Phone:
Date of Birth:
Applicant Email:
HOUSEHOLD INFORMATION
Father/Guardian Name & Place of Employment:
Mother/Guardian Name & Place of Employment:
Is your parent/guardian a veteran? (Yes/No)
Are your parents divorced or separated? (Yes/No)
How many are currently living in your household?
How many siblings do you have?
Are any siblings currently attending college full-time? If yes, how many?
Please list school(s) attending:
FINANCIAL INFORMATION
Combined parent/guardian income:
- under $25,000
- $25,000 - $50,000
- $50,000 - $75,000
- $75,000 - $100,000
- over $100,000
Have you submitted a Free Application for Federal Student Aid (FAFSA) this year?
If yes, what is your EFC (Estimated Family Contribution) from your FAFSA?
List all scholarships you have been offered to date, include scholarship amount(s) and source:
Scholarship Amount/Source
Are you related to a member of a Masonic Lodge? (Yes/No)
If yes, list name of relative, relationship to you and lodge affiliation:
ACADEMIC INFORMATION & FUTURE PLANS
Are you a first generation college student? (Yes/No)
Do you plan to teach? (Yes/No)
Do you plan to coach? (Yes/No)
Are you a band member? (Yes/No)
Do you play a sport? (Yes/No)
College or University you plan to attend:
Have you applied? (Yes/No)
Have you been accepted? (Yes/No)
Major/Area of Interest:
What do you plan on doing after college?
List Major School Activities & Offices Held:
List Community Activities & Volunteer Work:
List Work Experience & Associated Dates
List honors that have been awarded to you:
GPA (weighted):*
Class Rank: ____ out of ____
ATTACHMENTS
This scholarship is intended to assist a student who (or the family) has experienced an unusual financial hardship. Please describe that hardship and the impact it has had on you and/or your family.*
Please attach a typed essay explaining your plans after high school and how a scholarship will help you reach your goals.*
Please include a copy of your SAT and/or ACT scores.
If accepted to a college or university, please attach the acceptance letter.
Please include a copy of your SAT and/or ACT scores.
You may also attach documents such as: transcripts, written recommendations, etc. that you would like the selection committee to have.
Drop files here or

The Neuse Scholarship

Neuse Scholarship Application

APPLICANT INFORMATION

HOUSEHOLD INFORMATION

FINANCIAL INFORMATION

ACADEMIC INFORMATION & FUTURE PLANS

ATTACHMENTS