PBY Inc. 2017 Prom Scholarship
Deadline extended!!! All applications and documents must be submitted and postmarked by MARCH 11, 2017 at 11:59pm EST
Application Information
First Name
Your answer
Last Name
Your answer
Home Mailing Address
Your answer
Phone Number
Your answer
Email Address
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
School Work/Community Information
High School Attending
Your answer
Cumulative G.P.A
Your answer
College or Technical, Vocational or Trade Institution Planning to Attend
Your answer
Intended Major/Career Interest
Your answer
Community Service Activities
Your answer
Extracurricular Activities/Leadership Positions
Your answer
Work Experience
Your answer
Honors, Recognitions, and Awards Received
Your answer
Income Information
Total Taxable Family Income in 2016
Your answer
Household Size (including yourself)
Your answer
Questions
Date of Prom
MM
/
DD
/
YYYY
Have You Purchased Your Prom Ticket?
Have You Been Accepted into a College?
Please list the colleges you've been accepted to.
Your answer
How Did You Hear About This Scholarship
Your answer
Describe your ideal prom look
include your hair, dress, and makeup description
Your answer
Submit an Essay Explaining Why You Are Deserving of this Scholarship
Essay must contain a minimum of 300 words (no exceptions)
Your answer
Signatures
I HEREBY CERTIFY that the statements presented are true and correct to the best of my knowledge. I also acknowledge all information on
this form is considered confidential. All materials, including the photo become the property of Project Beautify You, Inc.

I understand that if any items are omitted, my application will be deemed incomplete and will not be considered.

Student Signature
Your answer
Parent/Legal Guardian Signature
Your answer
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