Scholarship Application

2025 Elm Grove Junior Guild Scholarship Application

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Applicant Name*

Applicant Birth Date*

Applicant Email Address*

Parent/Guardian Name*

Parent Email Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

High School Name*

Expected Graduation Date*

Application Essay - Write about a person who has had a profound impact on your life as a mentor. How did they inspire you, and how did their guidance shape your contributions to your community? How do you hope to carry forward their influence in supporting and uplifting others around you?*

Phone

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SCHOLARSHIP APPLICATION

2025 Elm Grove Junior Guild Scholarship Application