LILLY ENDOWMENT

COMMUNITY
SCHOLARSHIP PROGRAM
APPLICATION

(Revised June 2020)

Applications must be returned to the Community Foundation of Randolph County, Inc.
for the initial selection of finalists by 4:30 p.m. on September 8, 2020.

Brenda Brumfield, Program Officer
Community Foundation of Randolph County, Inc.
120 W Washington Street
Winchester, IN 47394
765.584.9077 ext. 201

 

Lilly Endowment Community Scholarship Program Application

  • Personal Data

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • EXTRACURRICULAR ACTIVITIES, AWARDS, HONORS, COMMUNITY, CIVIC, CHURCH ACTIVITIES, AND WORK HISTORY

  • ActivityIf you held a leadership position, please list or enter "No."GradeHours per week spent in each activity 
  • Award or HonorGradeHours per week spent in each activity 
  • Activity/Work HistoryGradeHours per week spent in each activity 
  • DOCUMENTS TO UPLOAD

  • SELF EXPRESSION ESSAY

    Describe what makes you unique and special. Please do not include financial information. Upload 2 full-pages, double spaced, 1-inch margins, using Calibri (body) 11 font.
  • Drop files here or
    Upload a 2-page, double spaced document, 1-inch margins, using Calibri (body) 11 font.
  • GOALS AND ASPIRATIONS

    Describe your personal and educational goals including plans for your career and future. 100 words or less double spaced,1-inch margins, using Calibri (body) 11 font.
  • Drop files here or
    Upload one double spaced document with 1-inch margins, using Calibri (body) 11 font in 100 words or less.
  • Drop files here or
  • Drop files here or
    Attach a recent wallet size photograph that will become the property of CFRC for publicity purposes should you be chosen. If you are chosen as a finalist you will be required to have a portrait taken, at no cost to you, that we may use for publicity.