Application | The Brian Watkins Memorial Foundation

Letter of Application

Please upload a one page letter telling the committee why you should receive the Brian Watkins Scholarship. This letter should include an explanation of how you meet the scholarship's requirements of academic excellence, financial need and athletic participation.

Letter of Application*

Drop files here or

Letters of Recommendation

Drop files here or

NOTE: Letters of recommendation are optional

Basic Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email Address*

Enter Email Confirm Email

Sex*

Male
Female

Date of Birth*

Education Information

High School*

Provo High School
Timpview High School

GPA*

Please enter a number from 0.0 to 4.0.

High School Transcript*

Drop files here or

Please attach a digital copy of your high school transcript

ACT Score

Please enter a number from 1 to 36.

SAT Score

Please enter a number from 400 to 1600.

Desired Field of Study/Major*

College Choices*

First Choice	Second Choice	Third Choice

Academic & Civic Activity*

List any academic/civic organizations or clubs that you are involved in or have been involved in during high school

Offices Held*

List any offices held in school, church, or civic organizations during high school

Sports*

List any sports which you are or were participating in during high school

Father's Information

Father's Name*

First Middle Last

Alive*

Yes
No

Retired*

Yes
No

Employer/Company Name

Title/Position

Mother's Information

Mother's Name*

First Middle Last

Alive*

Yes
No

Retired*

Yes
No

Employer/Company Name

Title/Position

Financial Information

How will you pay for your college expenses? Check all that apply*

Parents/Family
Scholarship
Self
Work
Other

Annual Household Income*

Have you worked during your high school years?*

Yes
No

How many hours per week?

Other Scholarships*

Yes
No

Have you currently received any other scholarships either academic or athletic?

Certification*

I certify the following:

I do hereby certify that to the best of my knowledge the information on this form is complete and accurate.

Signature*

Type your full name to acknowledge the above certification and sign your application.

Phone

This field is for validation purposes and should be left unchanged.