Scholarship Application Form

Community Council Education Services’ mission is to provide a safe and structured educational environment where children and adolescents can be nurtured. We are passionate and committed to the children we serve.

We understand and appreciate their differences and focus our efforts on supporting their success.

We would like to offer this opportunity to our young men & women entering a new chapter of their lives to apply for our CCES Education Scholarship.

We are offering a $1,000-$20,000 dollar scholarship to those that have been accepted to a 4-year College/University.

After filling out this form please send a 500-word responsive essay, high school transcripts, and copy of your College/University Acceptance Letter to ESscholars@cchss.org by April 2, 2018.

Name *

Name

First Name

Last Name

Phone (Home) *

Phone (Home)

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Phone (Cell)

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

High School *

High School GPA *

College to Attend in Fall 2018 *

Other Scholarships Received or Anticipated

Parent/Guardian Name *

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email *

Parent/Guardian Phone *

Parent/Guardian Phone

(###)

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All applications submitted will be reviewed by CCES’ Scholarship Committee.

All information on this application will be held in the strictest of confidence.