Moton Family Challenge Scholarship Application
Full Legal Name: First, Middle, Last *
Street Address *
City, State, Zip Code *
Email Address *
Phone Number *
Date of Birth *
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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 education@motonmuseum.org. Your application will not be considered without these documents.
Digital signature(Please type your first name and last name to stand for your signature) *
Submit
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