Scott and Julie (Bretl) LaFleur Scholarship

Personal Information

First Name

Last Name

Address

City

State

Zip Code

Cell Phone

Parent/Guardian Name(s).

Parent/Guardian Phone

Academic Information

I am a graduating senior at Menominee :

YesNo

GPA

Must have a GPA of 2.75 or higher on a 4.0 scale to be eligible for this scholarship.

Pursing a 2 or 4 year degree in Science, Technology, Engineering , Math (STEM) or in a healthcare field.

YesNo

I am pursuing a degree in:

Community Service

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

Financial Need

I have/will be submitting a Free Application for Federal Student Aid (FAFSA).

Yes
No

Indicate your family's adjusted gross income from their most recent Federal Income Tax Return.

Indicate the number of people in your parents' household.

Including yourself, how many people in your parents' household will be college students in the fall?

Required Attachments

Letter of Recommendation which addresses service to school or community

pdf files only

250-500 word essay which addresses why you have chosen your field of study, how your life experiences lead you to this career choice, and how you see yourself positively impacting your community after obtaining your degree.

pdf files only

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

Today's Date

Signature

Contact Information