General Service Scholarship First Time Application | Maple Springs Community Service Corporation

Last Name

First Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Church Affiliation

College or University of choice

Date Applied

Date Accepted

Intended Major

Please list all Honors and Awards received in High School/ College, and the year received

AFFILIATIONS AND LEADERSHIP POSITIONS

List ALL other Extracurricular Activities, Hobbies & Special Interests

List all Community Service Participation (provide a brief explanation, if necessary)

FAMILY INCOME (please check only one box):

Please list the number of family members in your household

Written Narrative

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Photo

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Letter of Recommendation

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Official Transcript

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