Fred Scheigert CCLVI Administered 2026 Undergraduate Form

Fred Scheigert CCLVI Administered 2026 Undergraduate Scholarship Application

Please read the Guidelines and Expense Reimbursement Policy prior to completing this application.

1. Date(Required)

2. Name (First and Last)(Required)

3. Mailing Address (Street Address)(Required)

Street Address Line 2 (Apartment/Suite)

City(Required)

State(Required)

Zip Code(Required)

4. Primary Phone Number(Required)

5. Alternate Phone Number

6. Email(Required)

7. Birthday(Required)

8. What will be your academic standing in the coming year? (Freshman, Sophomore, Junior, Senior)

9. Please describe the nature of your visual impairment.(Required)

10. Please describe the assistive technology used to read and perform activities of daily living.

11. I will be enrolled in a trade or vocational program in the upcoming academic year. ((Required)

Yes

12. The time remaining in quarters, or semesters, before I receive my next degree of study is …

13. My current academic GPA is …:(Required)

14. I learned of the Fred Scheigert Scholarship Program via …(Required)

15. What is your field of study or degree being pursued? (Please explain what influenced your interest in the identified academic and/or vocational discipline.) (200 word maximum)(Required)

16. Briefly discuss any work experience and extra-curricular activities involved in including school, church and within the community. Please also briefly describe any leadership positions held. (200 word maximum)

17. Please list any awards, honors or citations received. (200 word maximum)

18. Should you be chosen as a scholarship recipient, please explain how these funds will be used. (200 word maximum)(Required)

19. Please provide information about the school or academic institution you are attending — name of institution.

20. In the upcoming academic year, I will be (full time/part time). If you answered part time, please explain.(Required)

21. Major(s) and Degree sought — vocational, associates, bachelors, etc.(Required)

22. Please list other graduate or undergraduate schools attended. Please provide name, address, major(s), degrees and GPA's.

23. Please upload a copy of transcript(s) from the school where you are currently enrolled or most recently attended.

Accepted file types: doc, docx, xls, xlsx, pdf, Max. file size: 512 MB.

The Transcript file format must be a Word Document, Excel Spreadsheet, or a PDF file. If you do not upload this file, an email with this file attached must be sent to charcro7011@verizon.net.

24. Please upload your first Professional/Academic Letter of Recommendation.(Required)

Accepted file types: doc, docx, pdf, xls, xlsx, rtf, Max. file size: 512 MB.

First Professional Letter of Recommendation File format must be aWord Document or PDF file.

25. Please upload your second Professional/Academic Letter of Recommendation.(Required)

Accepted file types: doc, docx, pdf, xls, xlsx, rtf, Max. file size: 512 MB.

The file formats for this file must be a Word Document or a PDF file.

26. Please upload a letter of acceptance from your school, or the date you will be notified of acceptance if attending a new school in the next academic year.

Accepted file types: doc, docx, pdf, xls, xlsx, rtf, Max. file size: 512 MB.

The File Formats are a Word Document or a PDF file. If you do not upload this file, an email with this file attached must be sent to charcro7011@verizon.net