The Brickers Foundation

Scholarship Application Form

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Annual Household Income

Please answer the following questions: (100-word max)

What schools have you applied to? Have you been accepted?

Are you a first-generation college student? If yes, please expand on what that means to you.

What community projects or school organizations are you currently (or previously have been) a part of? Please provide purpose of organization and role served

Do you have experience serving in a leadership capacity? If yes, please expand on the impact of this experience.

Please answer any 2 questions (300-word max):

What are your goals after college?

What issues do you see in society today and how could you improve these issues?

Who has been the biggest contributor to your success and how?

How do you overcome obstacles?

What motivates you to excel?