Becas

HEIGHTENED HEARTS FOUNDATION INC.
SCHOLARSHIP APPLICATION
Scholarship Applicant’s Name*
Nombre Apellidos
Address*
Dirección Dirección 2 Ciudad Estado / Provincia / Región ZIP / Código Postal País
Date Of Birth*
Formato de fecha:MM barra DD barra AAAA
Age*
Gender*
- Male
- Female
Email*

I. FAMILY INFORMATION
Name Of Father*
Nombre Apellidos
Name Of Mother*
Nombre Apellidos
Occupation Of Your Father*
Nombre
Occupation Of Your Mother
Nombre
Applicant resides with*
- Both Parents
- Father
- Mother
- Other
Name Of Guardian*
Nombre
Will you be the first one in your family to attend college?*
- Yes
- No
Number Of Brothers*
Number Of Sisters*
Are any of them attending Tech school or college?*
- Yes
- No
If so, what school?*
If you feel that the Scholarship Committee should be aware of any special family or personal circumstances, please include this information in the space below.

II. BIOGRAPHICAL INFORMATION
List School Activities And Memberships (Sports, Drama, Dance, Music, Leadership, Honor Societies, Etc.)*
Activity/Membership Years Position
Community Activities (Include Community Service, Volunteer Work, And Any Church-Related Activities)*
Activity Years Position
List Any Honors, Awards, Or Special Recognition Received
(a) In School*
(B) Out Of School*
List your Interests, Hobbies, or Special Skills
List any employment or nonprofit work you have done.*
Employer Approximate Dates Weekly Hours
List any chores you have to do to help your parents or siblings.

III. College And Career Plans
Please List The Colleges You Have Applied To And /Or Have Been Accepted To. (Indicate By * If You Were Accepted).
Planned College Major
Nombre
Planned College Minor
Nombre
Planned Future Career
Nombre

I certify that all of the information included in this application has been completed by me and is, to the best of my knowledge, accurate and correct. If I am chosen to win this scholarship or gift card, my name may be used by the Heightened Hearts Foundation Inc to notify foundation members and donors of my scholarship award or gift card win. I may also be asked to take a photo to be posted on the Heightened Hearts Foundation Inc foundation website or other communications. We respect your privacy so if you wish to remain anonymous please let us know in a written statement and enclose it with your application and we will NOT include your name or photo in any of our marketing materials.
*
Applicant’s Signature
*
Parent or Guardian Signature
*
Parent or Guardian Signature
Today’s Date*
Formato de fecha:MM barra DD barra AAAA
Today’s Date*
Formato de fecha:MM barra DD barra AAAA
Visit our website to learn more about our foundation https://heightenedhearts.org If you would like to donate some of your time to our foundation or if you have any additional questions about this application simply contact us and we will be happy to assist you. You can email us at volunteer@heightenedhearts.org,

IV. SHORT ANSWER QUESTIONS
1. Why should we give this scholarship money to you?*
2. Who has been the most influential person in your life and why?*
Image/File attached
Suelta archivos aquí o
Tipos de archivos aceptados: jpg, gif, png, pdf, doc.

Activity/Membership	Years	Position

Activity	Years	Position

Employer	Approximate Dates	Weekly Hours