10-90 Copperstate Foundation » Scholarship Online Application

2022-2023 Scholarship Application

Applicant Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Name of Qualifying Parent(Required)

First Last

Qualifying Parent Badge Number(Required)

Division(Required)

Qualifying Parent Section(Required)

Assignment(Required)

Name of School Applicant will attend(Required)

Degree or Program Applicant is pursuing(Required)

How long does this Degree or Program take to complete(Required)

Current level of completion of Degree or Program(Required)

Have you applied for a previous scholarship through the 10-90 Foundation?(Required)

List all the years you applied.(Required)

Have you previously been awarded a scholarship through the 10-90 Foundation?(Required)

List all the years you were awarded.(Required)

Consent(Required)

I agree.

I have read and understand all information on the application and affirm that all information submitted is
true and accurate to the best of my knowledge. The 10-90 Copperstate Foundation has my permission and the
permission of the Qualifying Parent to publish information about my scholarship award to include my name, the
school/program I am attending and the name of the Qualifying Parent.

Submit Your Essay(Required)

Attach an original typed essay 300 words or less explaining why you are a good candidate for this award and how it will impact your education.

Accepted file types: doc, docx, pdf, txt, Max. file size: 32 MB.

Signature of Applicant(Required)

Name of Applicant(Required)

Signature of Qualifying Parent(Required)

Name of Qualifying Parent(Required)

Scholarship Online Application

2022-2023 Scholarship Application

Reach Out to the 10-90 Copperstate Foundation