APPLY FOR A CYBERCAVE SCHOLARSHIP
(Please complete all fields.)

Birthdate:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email:
Phone Number:
Spring Grade Level:  
GPA:  
High School:  
Teacher Reference Name:
Teacher Email:
 
Teacher Phone:
 
Teacher Fax:
 
What awards, or recognitions have you received?
List those achievements specifically related to your area of academic interest.
 

 

Please describe activities and work experience other than those directly related to your high school or college experience. You may list community service, church work, part-time or full-time employment.  

 

Write a short essay (one page only) about yourself explaining your family background, personal interest, what you plan to study and why you want to further your education. (separate sheet)