Louisiana Heroes Scholarship Application

Qualifications for the Scholarship

Are you a Louisiana resident?(Required)

Yes

Are you the child of a law enforcement officer, first responder, teacher, or coach employed by a Louisiana public school system?(Required)

Yes

Do you have a minimum GPA of 2.5?(Required)

Yes

Are you on track to graduate from high school this academic year or are a currently enrolled college or vocational student in a Louisiana institution?(Required)

Yes

If you answered yes to questions 1-4, then you meet the eligibility requirements for this scholarship. If you answered no to any of the above questions, we're sorry, but you are not eligible to apply for the scholarship.

Applicant Information

Full Name(Required)

First Middle Initial Last

Date of Birth(Required)

MM slash DD slash YYYY

Address(Required)

Street Address Apartment/Unit # City State ZIP Code

Phone(Required)

Email(Required)

Parent/Guardian(Required)

Parent Phone(Required)

Parent Email(Required)

Parent/Legal Guardian(s)

Please include name, occupation, and highest level of education for each.

With whom do you live?

Both parents

Mother

Father

Other

What is the total household income where you reside?

Under $20,000

$20,000-$40,000

$40,000-$60,000

$60,000-$80,000

$80,000-$100,000

Over $100,000

Siblings

Please include name, age, highest level of education, and living at home status for each.

Education

High School

Address

GPA

Class Rank/Size

ACT Score

SAT Score

Will you graduate?

Yes

Diploma Type:

Are you currently attending college?

Yes

College

Address

GPA

Fulltime Student Status:

Yes

N/A

What is your major?

What are your career goals?

Will you be living on campus?

Yes

If no, where will you live?

Will you be working while attending college?

Yes

If yes, how many hours per week?

Have you been awarded any other scholarships, including TOPS?

Yes

If yes, please list the name of the scholarship and the amount.

Please explain your financial need for this scholarship.

Activities

If your resume or activities sheet answer the items below, please attach at the end of this application and skip this section.

List any High School awards, honors, extracurricular activities, and volunteer/community service during the past four (4) years:

Previous Employment

If your resume answers the items below, please attach at the end of this application and skip this section.

Company

Phone

Address

Supervisor

Job Title

Responsibilities

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Reason for Leaving:

Other employment:

Additional Requirements for this Scholarship

Attachments

Please include all relevant documents here, i.e. resume, transcripts, letters of recommendation, etc.

Drop files here or

Accepted file types: doc, docx, pdf, pages, jpg, jpeg, png, tiff, Max. file size: 50 MB, Max. files: 20.

Did you submit a copy of your High School or College Transcript? If awarded the scholarship, then an official copy will be required.(Required)

Yes

Did you submit two (2) letters of recommendation?(Required)

Yes

Did you submit documentation for your ACT score? If awarded the scholarship, then an official copy from your school will be required.(Required)

Yes

Did you submit documentation that your parent or guardian is a Louisiana Hero (such as a letter from the supervisor or principal)?(Required)

Yes

Did you submit a short essay answering the following question: Please describe in two (2) pages or less the parent or guardian that qualifies you for this scholarship as well as what this scholarship would mean to you.(Required)

Yes

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.(Required)

Yes

Signature(Required)

Date(Required)

Month

Day

Year

Louisiana Heroes Scholarship Application

LA Heroes Scholarship Application Form

Qualifications for the Scholarship

Applicant Information

Education

Activities

Previous Employment

Additional Requirements for this Scholarship

Disclaimer and Signature