Fleck Law Firm Kentucky High School Senior Scholarship Form

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KENTUCKY HIGH SCHOOL SENIOR APPLICATION

Email *

PERSONAL DATA

Name (First, Last, Middle)

Address (Street and Number, City, State and Zip)
*

Date of Birth
*

YYYY

Phone Number
*

Name of Parent or Guardian
*

Email Address
*

High School

ACT Composite Score

SAT Combined Score

Cumulative GPA (Must be 3.0 or higher)

EXTRACURRICULAR ACTIVITIES

(Include activities, special programs, internships, etc.)

List organizational memberships and offices held in school or community.

List Honors/Awards and Year Received

List Special Interests

List the Community/Technical College, Four Year College or University you plan to attend in the Fall of next year

Anticipated Major(s)

Please note you must submit an essay on one of the following topics:

o Explain why you want to pursue a career in the legal field

o Explain why or how this scholarship supports your future goals.

o Tell us something about yourself that would set you apart from anyone else in your class.

You must submit this essay and the other required information via mail (information on website) or e-mail to Info@TheFleckFirm.com

By submitting this application, I certify that the information contained in this application is correct and complete, to the best of my knowledge.

I understand that I must submit (seperately) proof of enrollment to College or technical school

I understand that I must submit (seperately) one (1) letter of recommendation

Required

Submit

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