Homeowner Scholarship Application Application for Lynn Weekley Scholarship (Homeowners) APPLICATIONS, INCLUDING REQUIRED SUPPORT INFORMATION, MUST BE SUBMITTED BY March 31, 2018 online at www.habitatgwinnett.org or by mail to: P.O. Box 870408, Stone Mountain, GA 30087. Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*High SchoolName of High School*Expected Graduation Date* What classes have you taken in high school that particularly prepares you for college or technical college?*Are you receiving a College Prep or Tech Prep diploma?*What is your current Grade Point Average?*Did you take the SAT?* Yes No SAT M ScoreSAT W ScoreDid you take the ACT?* Yes No ACT Composite ScorePlease list your extracurricular activities, any offices or leadership positions held (including clubs, church, community, sports etc.)., honors for academics, art, music, sports, community service. May include extra page in needed.*Please list your participation in volunteerism during high school and estimated hours of service for each.*College/Technical CollegePlease list the colleges or technical colleges to which you have applied for admission:*Name of SchoolYes, AcceptedAcception PendingNo, Not Accepted Please place an 'x' in the appropriate column for each school.What is your intended major?*Required Support Information: (Your application is INCOMPLETE without the following documents) Typewritten Essay (See box below) Faculty Member Recommendation High School Transcript Copy of acceptance letter(s) Typewritten essay describing how your involvement in volunteerism during high school has affected you and how your actions have worked to create a better community for everyone. (Max 250 words)*Upload files here Drop files here or Eligibility* Current college-bound high school seniors that reside on a Gwinnett Habitat Home are eligible to apply. Submission* By submitting this application, I give Gwinnett Habitat permission to use my name in matters relating to the promotion of this scholarship. Date*
