2026 Scholarship

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Scholarship Application

Last Name(Required)
First Name(Required)
Middle Name
Address(Required)
Cell Phone Number(Required)
Email Address(Required)

Birthdate(Required)
Name of Parents or Guardians/Cell Phone Number:(Required)
Are you Employed?(Required)
Place of Employment:
High School Attended:
School Address and Phone Number:
Date Entered School
MM slash DD slash YYYY

Membership in School Clubs and Organizations:
Date of Graduation or Expected Graduation
MM slash DD slash YYYY

Positions Held:
Honors/Awards:
Other Activities/Hobbies:
List two volunteer activities you have participated in while in high school. See attached Volunteer Hours Verification Form
List all colleges to which you have applied or will apply (Name of college, city and state):
Are you planning to attend a HBCU?

Yes

No
(*If yes, you will be considered for the Porter, Davis, Dunn, or Williams Scholarship)
(*If no, you will be considered for the Brown Scholarship)
(*If no, you will be considered for the Brown Scholarship)
Are you planning to pursue a career in Prince William County as a teacher? (*If yes, you will be considered for the Educational Advancement Foundation (EAF) Scholarship)

Yes

No
Write an essay of at least 100 words, but no more than 300 words, that explains your participation in volunteer activities in the community and what you have gained from volunteering.
Date
MM slash DD slash YYYY

Δ

Scholarship Reference Form

Name of Applicant:(Required)

High School:(Required)

Date:

Rating Chart:

5. Exceptional or invariably exceeds peers in this area.
4. Very good or exceeds peers in this area.
3. Good and is consistent with those of peers in this area.
2. Fair and occasionally falls below peers in this area.
1. Consistently falls below peers in this area.
0. Not applicable or not observed in this area.

Character

Dependability

Reliability

Industriousness

Cooperativeness

Motivation

Initiative

Communication Skills

Relationship with Peers

Relationship with Teachers/Adults

Ability to Pursue College Work

Community Activities

Additional Comments:

Name of Rater/Relationship to Student:

Signature:

Volunteer Hours Verification Form

Student Name:(Required)

Birthdate:

Date(s) of Volunteer Service

From

To

Describe Volunteer Work:

Signature:

Address:

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

Phone Number:

Signature of Applicant:

Date:

Signature of Parent/Guardian:

Date:

Contact

Scholarship Application

Scholarship Reference Form

Rating Chart:

Volunteer Hours Verification Form

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