Lifelong Learning Scholarship Program

Requirements:

Personally complete all sections and requirements.
All signature lines must be signed.
Incomplete applications will be disqualified.
If you need additional space for any of the items, please feel free to attach additional sheets of paper.

Applicant Contact Info
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone
Policy Number
Membership Number
Class(es) you would like to attend
List or Describe the Class or Classes You Would Like to Attend*
Name of organization offering class*
Address of Organization Offering Class
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Degree of Honor Activities*
List your participation in activities sponsored by Degree of Honor.
Community Service and Volunteer Activities*
List your involvement with family, church and community.
Making a Difference Essay*
In 800 words or less, explain how you will use your future educational opportunities to make a difference in our world.
Your E-Signature*
By signing in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please retain the email confirmation as verification of your application.
Comments
This field is for validation purposes and should be left unchanged.