Scholarship Application

Colorado Propane Gas Association Scholarship Application

All information submitted within this Application will be used solely for the purpose of determining the applicant’s eligibility.
This is an equal opportunity award. Must be submitted by: April 30

Name

First

Last

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone

School(s) Attended (9th through 12th grades/High School/include city and state):

Date you will graduate:

Number in Class:

Rank in Class

SAT/ACT test scores, if taken:

Parent Name :

Parent Employer and Occupation :

Parent Name :

Parent Employer and Occupation :

Scholastic

Honor and Awards (state year and nature of honor or award):

Offices and positions of Leadership (state name of organization, position held and year):

Member of Organization (where no office was held) (state name of organization and year, thus: Band 2,3. State only major activities):

Other Activities (School or non-school related)

Honors and Awards (state year and nature of honor or award):

Offices and positions of Leadership (state name of organization and year, thus: Drama 2,3. State only major activities)

Member of Organization (where no office was held – state name of organization and year, thus: Scouting, 4-H, etc. State only major activities):

State your plans for enrollment in a regionally accredited American College, University, or Technical School:

Have you received or do you expect to receive other scholarships?

If yes, give details:

Any additional data to show financial need and general worthiness. Be specific in this:

College, University OR Technical school of my choice:

Anticipated tuition per semester at this institution:

Anticipated cost of Housing, Food, and Transportation (if planning to commute from home to school)

Date

Transcripts

Max. file size: 50 MB.

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