Sara Murray Lambrecht Scholarship Application

Personal Information

First Name

Last Name

Gender

Date of Birth

Address

City

State

Zip Code

Cell Phone

Parent/Guardian Name(s).

Parent/Guardian Phone

Academic Information

School you currently attend or graduated from.

GPA

Must be 3.0 or higher to be eligible to apply.

Four-year college or university you will be attending.

Extra-Curricular Activities, Community Service, Honors & Awards

High School Extra-Curricular Activities - include grade levels of participation and position.

Community Service and Volunteer Activites - include grade levels of participation, positions held, and number of volunteer hours.

Honors & Awards Received - include grade level.

Employment Information

Place of Employment

Job Title

Dates of Employment

Required Attachments

College or High School Transcript

pdf files only

I, the student applicant, attest that to the best of my knowledge the information provided is accurate.

Today's Date

Signature