2024 Scholarship Application

2024 Ford Reynolds Scholarship Application

- Step 1 of 9

I. PERSONAL INFORMATION

Academic Year: 2024 - 2025

Current School Year 2024-2025

Legal Name

First

Last

Street

City

State

Zip Code

Gender

Home Phone #

Cell Phone #

Email Address

Confirm Email

DOB

02 /02 /2000

Last 4 digits of SSN

Last 4 digits

II. EDUCATION

High School Name

Principal's Name

School Address

Street Address, City, State, Zip

From

Month/Year Started

Month/Year Graduated

Enter the names of the colleges/universities you are applying to:

1st School

First school you are applying to

2nd School

Second school you are applying to

3rd School

Third school you are applying to

4th School

Fourth school you are applying to

When do you plan to start:

Summer 2024
Fall 2024
Spring 2025
Fall 2025

Future Career Choice

What are you planning to do?

Anticipated Graduation

When are you planning to graduate form college?

III. LIST SCHOOL & COMMUNITY ORGANIZATIONS OF WHICH YOU ARE A MEMBER

A. Advance courses, activities and experiences

B. List Extracurricular Activities.

C. List Community Services as a Freshman and as a Sophmore.

D. List any honors, awards, and/or special recognition you have received over the last three years.

IV. YOUR FAMILY

A. Enter complete information about your parent(s) and/or your guardian(s).

Name 1

Father/Male Guardian 1

Mother/Female Guardian 1

Name 2

Father/Male Guardian 2

Mother/Female Guardian 2

Name 3

Father/Male Guardian 3

Mother/Female Guardian 3

Number of persons in your family dependant on your parents/guardians for financial support

Numbers

C. Are there aspects of your family life or personal circumstances you would like to share with the Selection Committee?

V. Please answer one of the following questions and upload your essay to the Scholarship Application, using the "Choose File" button below the question. (The essay should follow this format: typed 10 point font, 1" margins, doubled spaced and between 500-750 words):

1. Write about a person or experience that taught you the value of persevering despite setbacks or challenges.

Please upload your response to Question 1, below, before submitting your application.

Click or drag a file to this area to upload.

2. What core values do you hold dear? How do these values shape your daily interactions and future plans??

Please upload your response to Question 2, below, before submitting your application.

Click or drag a file to this area to upload.

Suggested sites to assist in essay structure & composition: College Essay Guy, College Scholarships, Scholarships & Financial Aid

VI. Three (3) sealed and signed letters of recommendation are required to support your application. Letters of recommendation can be sent using the link or mailed. At least one must be from an academic instructor.

VII. Letter and Confidential Documents From Your Recommenders

Applicant Name

Please review your responses and sign your name below. Your signature will confirm that the information provided is accurate and true and authorizes your school to release the information requested.

I certify that I am a graduating senior in good standing at

High School and expect to enroll at

University/College in August/September of the year immediately following my high school graduation.

Scholar’s Signature

Date

Ways to submit your application, essay, official sealed school transcript, school certification form, and recommendation letters to the address below:

The Gailen and Cathy Reevers Center for Community Empowerment
4126 S. Arlington Avenue
Los Angeles, CA 90008-4028
Attention: Stephanie Farmer
(323) 293-8535

Mailed Ford Reynolds Star Applications must be postmarked by Friday, May 5, 2024
or
Applications can be emailed to: info@gcrcla.org
and must be received by 11:59 p.m. on Monday, May 9, 2024
If sent via email, official sealed school transcripts, school certification form, and
recommendation letters must be postmarked Friday, May 5, 2024.

Please provide the data requested below and attach an official transcript of grades.

Name of Student:

High School:

Please provide the data requested below and attach an official transcript of grades

Name of Student:

High School:

TEST SCORES (optional)

A School administrator/coordinator may enter the scores below.

SAT Test Date:

SAT Scores:

Verbal

Math

Writing

ACT Test Date:

Composite Score:

Passed both parts of CAHSEE:

Is the student a high school senior?

Anticipated Graduation Date:

A-G Grade Point Average

Cumulative Grade Point Average

Name:

Title:

Signature:

Date:

VIII. THESE ARE THE FINAL STEPS.
Have your References Click Here
IF YOU WOULD LIKE TO REVIEW YOUR RESPONSES, CLICK THE PREVIOUS BUTTON TILL YOU'RE ON THE FIRST PAGE. ONCE SATISFIED, AND ARE BACK TO THIS POINT, CONTINUE TO THE NEXT LINE.

Before SUBMITTING YOUR APPLICATION Right-Click THIS LINK - Choose Open Link in New Tab to download and follow the final instructions for requesting your academic documents.THEN, CLICK THE PREVIOUS TAB TO COME BACK TO THIS PAGE TO SUBMIT YOUR APPLICATION. Thank You!

Please have your Recommenders upload their responses here.

Click or drag a file to this area to upload.

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