Herbert V. Johnson Family Scholarship

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Name*

First Last

Birth Date*

Gender at Birth*

Email*

Phone*

Address*

Street Address City State ZIP Code

Are you a descendant of Sarah and Jessie Johnson?*

Yes

What best describes your current status.*

High School Graduation Year*

GPA*

Please enter a number from 0.0 to 4.0.

NOTE: Copy of official transcript with official GPA will be required prior to award if you are selected for this scholarship.

List any extra-curricular organizations (including band, sports, honor clubs) in which you are a member through your school, or any volunteer activities through charities, non-profits, etc. Please provide a description of your participation in each of one listed.*

Please select one of these two essay topics, and write up to 500 words.*

Essay*

Please describe your financial need and how this scholarship will help you.*

250 words or less

Consent*

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