Hempstead Chamber of Commerce Scholarship Application

Name *

First

Middle

Last *

Last

Date of Birth

Address *

Address

City

State/Province

Zip/Postal

Country

Home Phone

Mobile Phone

Email *

Hempstead High School ID #

Cumulative Grade Point Average

Name of College you plan to attend

Intended Major in College

ESSAY STATEMENT: Please submit a typed essay (300 – 500 words) describing how you have created change in your community or at-large and/or how you plan to create change in your community or at-large. Please do not exceed 500 words. *

Maximum upload size: 5MB

Most recent Hempstead High School transcript *

Maximum upload size: 5MB

Most recent resume *

Maximum upload size: 5MB

A letter of recommendation *

Maximum upload size: 5MB

ONLY I AM AFFIRM THAT THE INFORMATION SUBMITTED ON THIS FORM AND ANY ATTACHMENTS ARE ACCURATE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT SUBMISSION OF THIS APPLICATION DOES NOT GUARANTEE AWARD OF THIS SCHOLARSHIP

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Hempstead Chamber of Commerce

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Hempstead Chamber of Commerce