Ben Carlson Memorial Scholarship 2019
Please contact bcmsfscholarship@gmail.com if you have an questions or concerns regarding your application. You will receive a confirmation message when your response is recorded.
Email address *
First Name *
Middle Name
Last Name *
Mailing Address (Example: 123 Olive Street) *
City *
State *
Zip Code *
Telephone (Primary) (xxx)xxx-xxx *
Telephone (Secondary) (xxx)xxx-xxx
What school are you currently attending? *
What is your current grade level? *
What school do you plan to attend in the fall or winter of 2018? (List up to three) *
Have you already received a letter of acceptance or committed to this school? *
Required
What is your expected graduation date at the institution that you are currently attending? *
What major course of study and type of degree do you plan to pursue/ currently studying? *
What is/was your High School Cumulative Grade Point Average? (Unweighted) x.xx *
Official current and/or high school transcripts will be required if selected for oral interview.
What is/was your High School Cumulative Grade Point Average? (Weighted) x.xx *
Official current and/or high school transcripts will be required if selected for oral interview.
What is your current cumulative undergraduate GPA? x.xx *
Official transcripts will be required if selected for oral interview. Do not send transcript unless requested. Please state NA if currently in high school.
Please list the name of the agency, location, and number of years that you participated as a junior lifeguard.
Please list the name of the agency, location, and number of years that you have worked or volunteered as an ocean lifeguard.
Please identify the type or nature of the lifegurding position? *
Do you have any issues or constraints that would prevent you from accepting this award (other scholarships, NCAA, etc.)? *
Required
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