2025 Ford Reynolds Scholarship Application

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- Step 1 of 9

I. PERSONAL INFORMATION

Academic Year: 2025 - 2026

Current School Year 2025-2026

Legal Name

First

Last

Street

City

State

Zip Code

Gender

Cell Phone #

DOB

02 /02 /2000

Last 4 digits of SSN

Last 4 digits

Email Address

Confirm Email

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:

Fall 2025
Spring 2026
Summer 2026
Fall 2026

Future Path of Interest (Optional)

What are you planning to do?

III. LIST OF COMMUNITY AND SCHOOL ORGANIZATIONS YOU HAVE SERVED OR ARE A MEMBER

Honors or AP Courses

Grade Level

1ST SEMESTER GRADE

2ND SEMESTER GRADE

ORGANIZATION

Ex: Student Council

ROLE

Junior Class Secretary

RESPONSIBILITIES

1 YEAR

ORGANIZATION

Ex: L.A. Mission

Activity

Volunteered at the annual holiday food give away 9TH - 12 GRADE YEAR

Years

Supervisor's name (copy)

HONOR / AWARD / RECOGNITION

Year

2025

Ex: Honor Role 10th grade year

Year

2025

A. Advance courses, activities and experiences

B. Grade Level Achieved

Degree, Diploma, Certificate ...

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

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

Numbers

C. Are there circumstances that impact your education, i.e. family finances, unstable living conditions, physical health of a family member.?

D. Are you currently employed? If so, how many hours per week do you work?

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 1, 2026
or
Applications can be emailed to: info@gcrcla.org
and must be received by 11:59 p.m. on Monday, May 4, 2026
If sent via email, official sealed school transcripts, school certification form, and
recommendation letters must be postmarked Friday, May 1, 2026.

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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