The John Smith III Memorial STEM Scholarship Application

John Smith III Memorial STEM Scholarship Applicant's Name *

First

Last

Employed?

Position

Employer

List activities that you have participated in: Church Activities, Athletics, Etc.

Community Volunteer Activities and the Length of Time You Have Been a Volunteer:

Special Recognition/Academic Honors/Special Achievements

When do you plan to enter school? *

Enter Enrollment Year *

Please enter the year you plan to enroll (2025, 2026, etc.)

What college would you be attending? *

Will you be a full-time or part-time student? *

What will be your major field of study?

What is your projected graduation or completion date?

What degree do you plan to pursue?

What is your Cumulative High School/GED/HSE grade point average? *

Should you receive a scholarship award from this fund, would you have any objection to being identified in MLKCC pictures or publications?

(If yes, please explain)

I hereby affirm that the information provided on this form is accurate and complete to the best of my knowledge. *