Apply For Scholarship

In the table below, highlight your achievements both in and out of school. Include varsity sports teams (one year minimum is required) you have played on, club affiliations, academic achievements, leadership positions, community service work or any awards or honors you have received.

I acknowledge that this is a competitive selection process and that the decision of the Scholarship Committee and the Our Three Moms organization is final.

I certify that the information provided is complete and accurate to the best of my knowledge and that intentional misrepresentation is cause for disqualification. If asked, I agree to provide proof of the information I have provided. The scholarship committee has my permission to contact my references and/or school officials for additional academic or character reference information.

If selected to receive a scholarship, I understand that the scholarship must be used during the school year that immediately follows the year of my high school graduation.

I further understand that if selected as the award recipient, the scholarship amount will be paid to the post-secondary school I have identified and that I am not eligible to be reimbursed for any previous tuition expenses. As such, the scholarship award will not be paid directly to me under any circumstances.

Applications and attached materials will be reviewed by the scholarship committee. All applications must be submitted by Thursday, June 1^st, 2023 in order to be considered for the scholarship.

The scholarship committee will hold online interviews with a select group of finalists and choose a recipient in late June 2023.