ADAM GUNDLACH MEMORIAL SCHOLARSHIP
PURPOSE
In cooperation with the Education Foundation of Kenosha, the Adam Gundlach family is sponsoring a $500.00, one-time, scholarship to provide assistance to a Kenosha Unified School District student who will be graduating this year.

ELIGIBILITY
Interested students must have volunteer accomplishments and inspirational goals. Academically capable students must demonstrate a financial need, provide a transcript showing a 3.0 grade point average or better, provide evidence of college acceptance, and be a U.S. citizen. The scholarship may be used only at an accredited institution of higher education located in the United States of America.

FINANCIAL DATA
The scholarship award amount is $500. The award is to be used for tuition, fees, and college residential costs at an accredited college or university, and will be issued directly to the university.

APPLICATION PROCEDURE
Applications may be obtained from Kenosha Unified high school guidance offices. Completed applications must be submitted by March 15th.

Email address *
ADAM GUNDLACH MEMORIAL SCHOLARSHIP APPLICATION
Date of Application *
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Date of Graduation *
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PERSONAL INFORMATION:
Name *
Date of Birth *
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Address *
Telephone *
Name of parent(s) *
Occupation of parent(s) *
Employer of parent(s) *
Number of Dependent Children in Family *
Number of Dependent Children in College/Technical School *
EDUCATIONAL INFORMATION:
High School Attended *
GPA Number (Not Weighted) *
List below colleges to which you have applied. Indicate if you have been accepted. *
Planned Major
School Achievements/Activities List (Required) *
School Achievements/Activities - Attach information here - Optional
Volunteerism/Community Service List (Required) *
Volunteerism/Community Service - Attach information here - Optional
Attach a current copy of your high school transcript. *
Required
Acceptance Letters are Required to be uploaded here *
Required
FINANCIAL:
Explain how financial assistance will help you to continue your education *
REFERENCES:
Name / Relationship / Phone (Reference 1) *
Name / Relationship / Phone (Reference 2) *
Name / Relationship / Phone (Reference 3) *
OTHER INFORMATION:
Attach a one-page essay (200 words or less) explaining your volunteer accomplishments and inspirational goals. *
Required
A copy of your responses will be emailed to the address you provided.
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