LILLY ENDOWMENT

COMMUNITY
SCHOLARSHIP PROGRAM
APPLICATION

(Revised June 2021)

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 7, 2021.

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

  • MM slash DD slash YYYY
  • Scholastic Profile

  • 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.
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    Max. file size: 25 MB.
      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
      Max. file size: 25 MB.
        Upload one double spaced document with 1-inch margins, using Calibri (body) 11 font in 100 words or less.
      • Drop files here or
        Max. file size: 25 MB.