The Moles Celestyne Diggs Porter Scholarship Application 2023

Important Information:

Applicants must adhere to the separately provided INFORMATION and GUIDELINES FOR APPLICANTS in submitting this application.

You will get an email copy of your completed application after you finish completing this form.  PLEASE PRINT A HARD COPY OF IT AND ADD IT TO YOUR APPLICATION PACKET.

ONLY include the following items in your application packet’

·      Completed application

·      Official high school transcript (in a sealed envelope)  

·      Recommendations as identified at the end of the application. 

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Email *
Email address *
Applicant's name *
Name of Local Chapter of the Moles
Complete mailing address (Street, City, State, Zip) *
Phone Number *
Date of birth *
Annual total FAMILY INCOME from all sources. Please choose one of the following: *
Number of siblings (including yourself) dependent upon parental support *
Number of siblings currently in college *
What are your current plans for paying for your college education? *
Provide names of colleges/universities where you have been accepted.
Name of high school *
Your total GPA (add any weight for advanced/AP/IB classes) *
SAT score (optional)
ACT score (optional)

List any distinctions or honors you received in high school

(Scholastic, athletic, or otherwise). 

 *

Describe your involvement in extracurricular high school activities.  (Examples: student government, dramatics, athletics, debate club, band, etc.) 

 *

Describe your community and/or work activities, including your

level of participation and leadership. (Examples: church,

volunteering, employment, etc.) 
 *
Please explain briefly what was most rewarding about your work/volunteer experience(s). Include experiences that have contributed most to your development.
 *
What person(s) has/have been most influential in your life and in what way (s)?
 *
What are your career goals?
 *

PLEASE PROVIDE THREE LETTERS OF RECOMMENDATION-one from each of the following sources.  TEACHER (primary focus should be on classroom performance and potential for college/university success).  COUNSELOR OR ADMINISTRATOR (primary focus should be on positive contributions to the school community).  COMMUNITY MEMBER/EMPLOYER/FAMILY FRIEND (primary focus should be on your character and personal development). Please note that relatives should not be used for recommendations.  Those providing recommendations must include their names and contact information (phone number and/or email address) *

 *
Required
The local Moles Chapter that provided you the scholarship application will advise you of their due date deadline to submit the completed form to the chapter. *
Required
A copy of your responses will be emailed to the address you provided.
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