Scholarship Application Personal Information First Name * Last Name * Home Address City State ZIP Home Phone Cell Phone Email Address * HBMA Sponsor’s Name Relationship to Sponsor Parent/Guardian Parent's Address *if different from yours Current Employer Number of Siblings Number of Siblings in College Please briefly explain why you need a scholarship (use additional page if necessary). Career Plan College/University Major Classification FreshmanSophomoreJuniorSenior GPA (Accumulated) GPA (Semester) Are You a Co-op Student? If “Yes,” Do You Attend Summer Courses? Is Your Program on a Quarter System? Is Your Program on a Normal Two-Semester System? Extracurricular Activities For school related activities, please specify the year(s) in which you were active and place an asterisk next to the year(s) you served as an officer (if any). Example: Latin Club 2020, 2021* Fine Arts Athletics Honor Societies Student Government: Community Activities (group name, purpose, your accomplishment): Personal Interest Activities (performing arts, hobbies, skills): Business Activities: PLEASE BE ADVISED THAT, PER IRS REGULATIONS, THE SCHOLARSHIP MUST BE USED FOR TUITION AND BOOKS ONLY. LETTERS OF COMMENDATION AND RECOMMENDATION ARE ENCOURAGED AND ACCEPTED.
