Richmond Ruritans Scholarship Application
Please complete the form below by March 1, 2019.
Name *
First and last name
Your answer
Mailing Address *
Street - City, State and ZIP
Your answer
Phone number *
Your answer
Email *
Your answer
Social Security Number *
- If you do not want to provide your SS - just enter NA. If you are awarded our Build Your Dollar Award - it will be required on the paperwork submitted to Ruritan National.
Your answer
GPA *
Your answer
Expected College
Your answer
Expected Major
Your answer
Community Service Activities *
Please list ALL Community Service Activities you are or have been involved. We ask that you separate each activity with a comma.
Your answer
Clubs / Non-Sport Participation *
Please list all Clubs and Non-Sport activities (School Sponsored and Non-Sponsored) you were involved with at CHHS. We ask that you separate each activity with a comma. If you did not participate in any, please state none.
Your answer
School Sports Participation *
Please select all sports you participated in during your High School years.
Required
Awards and Achievements
Please list any special awards or achievements you have earned. We ask that you separate each activity with a comma.
Your answer
Essay - Why you are applying for this scholarship? *
Enter a minimum 200 word essay. Please do not include your name or names of family.
Your answer
Submit
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