Moton Family Challenge Scholarship Application
Full Legal Name: First, Middle, Last *
Street Address *
City, State, Zip Code *
Email Address *
Phone Number *
Date of Birth *
High School Name & School Mailing Address *
Cumulative GPA(please indicate the scale e.g., 4.0 scale or weighted 5.0 scale) *
Colleges or Universities to which you have applied or been accepted *
List your extracurricular (school, athletics, community, volunteer, etc.) activities, employment, and honors received with dates of involvement. *
Name(s) of family member affected by the Prince Edward County School closings from 1959-1964 and their relationship to the scholarship applicant. Include maiden names of female relatives, if known. (Example: Dorothy Lockett Holcomb, maternal grandmother; James Holcomb, maternal grandfather.) *
Names and Positions of individuals writing letters of recommendation on your behalf. (Example: Ms. Megan Miller, Journalism teacher, Prince Edward County HS) *
Parent/Legal Guardian Information *
Please upload your essay in the space below *
Upload transcript and letters of recommendation. If there is an error please email the files to Your application will not be considered without these documents.
Digital signature(Please type your first name and last name to stand for your signature) *
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