Scholarship Application

Name*

First Last

Age*

Gender

Male
Female
Prefer to Self-Describe

If you chose to self-describe you may specify here

Ethnicity (Optional)

If you chose to specify you may do so here

Optional: Photo Upload

Provide a photo of you serving with YVC

High School Attended*

High School Graduation Year*

Grade Point Average*

(Scholarship Finalists may be requested to submit a high school transcript if not provided with this application.) *Need help converting your grades to the U.S. GPA system? Try using this calculator: http://www.foreigncredits.com/Resources/GPA-Calculator/

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Email*

City Where Your YVC is Located:*

Number of hours volunteered with YVC*

Please enter only YVC volunteer hours here. You will have the opportunity to list other volunteer hours elsewhere.

YVC Volunteer Activities (include dates)*

Please list only volunteer activities organized by YVC here. If you prefer to upload a file with your YVC hours, please do so in the next question.

YVC Volunteer Activities - File Upload (Optional)

Use this field to upload a file with your YVC volunteer hours instead of listing them above if desired. If you already listed them above, there's no need to upload a file.

Non-YVC Volunteer Activities (include dates)

Please list only volunteer activities NOT organized by your local YVC program here.

Extracurricular Activities*

List other school and community organizations and activities you are involved in. Please note leadership roles and include dates.

Essay*

Explain how volunteerism with YVC has affected your life and how you see service fitting into your future. Include how you’ve demonstrated leadership in volunteerism.

College Plans*

Beyond College Plans*

Other Considerations

Please share other information you would like the committee to take into account. Please include any financial need considerations if applicable.

Additional Information

Is there anything else you would like the committee to know that has not been asked or addressed in the application?

Have you selected two references and ensured that they will fill out this form (www.yvc.org/scholarship-reference/) by April 30?*

Recommendations must be from two people not related to applicant.

Yes

Certification*

I certify that I am the person who completed this application and the above information is true to the best of my knowledge. (Type your full name below).

VOLUNTEER

Don and Jean Sloan Youth Service Scholarship Application