New applicants Scholarship Application Form 2017

Contact Information
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
*REQUIRED
Please include their name, profession, relationship and age.
*REQUIRED
*REQUIRED
Activity / Year(s) / Leadership position (if applicable)
If additional space is needed, send a separate document with your name.
*REQUIRED
*REQUIRED
Please list organization / hours / position
*REQUIRED

Transcripts must be send by email to

Catalina Echeverry 

cecheverry@lawanc.org 

or by regular mail to:  

LAWA

3440 Toringdon Way, Suite 205.

Charlotte, NC 28277

____________________________________________________________________________

Recommendation letters can:

Be upload here with your application or

Be sent directly from you counselor to:  

Catalina Echeverry 

cecheverry@lawanc.org 

or by regular mail to:  

LAWA

3440 Toringdon Way, Suite 205.

Charlotte, NC 28277

*REQUIRED

ACKNOWLEDGMENT

I acknowledge that the information provided in my application is, to the best of my knowledge, complete and accurate. I understand that any false statements on this application may disqualify me from receiving a scholarship. All the information provided is subject to verification. LAWA reserves the right to make all final decision regarding the granting of all scholarship awards.

*REQUIRED