top of page

Keep Haralson Beautiful Scholarship Application Form



Applicant Information:


Full Name                                                                           ___________________________________


Mailbox Address                                                              ___________________________________



Home Telephone Number                                           ___________________________________

Mobile Telephone Number                                         ___________________________________

Email Address                                                                   ___________________________________


Current School                                                                  ___________________________________

Homeroom Teacher                                                        ___________________________________


Birthdate                                                                             ___________________________________


Anticipated Graduation Date                                       ___________________________________

Anticipated College or Technical School                  ___________________________________



I have read and understand the annual scholarship requirements as presented by Keep Haralson Beautiful and agree to abide by those requirements     [   ]  Yes     [   ] No

Calendar of Events

Click on the event below to go to its Volunteer Sign Up page for more information!

scholarshop application.jpg
bottom of page