James M. Dye Foundation Application

Full Name *

Prefix

First Name

Last Name

Suffix

Nickname

Gender

Male

Female

Date of Birth (MMDDYYYY):

Home Address: *

Address Line 1

City

State

Zip

Country

Email Address: *

Verify Email Address:

Cell Phone Number: *

County of Residence:

Are you currently a dual enrollment student? : *

Yes

What year did you graduate from high school/earn your GED? Which high school? *

2024 High School Graduates Only - What was your final high school GPA?

List any school activities in which you are/were involved: *

List any volunteer activities & other community service efforts in which you are/were involved:

Are you currently employed? *

Yes

If yes, please list your employer:

Work phone (if applicable):

What is your intended pathway of study at SGSC? *

Do you plan to attend SGSC as a full-time student (12 or more hours per semester)?

Yes

Which campus do you plan to attend? *

Please explain why you are applying for scholarship assistance from the James M. Dye Foundation:

Did you receive a scholarship from the James M. Dye Foundation during the 2023-2024 academic year?

Yes

If yes, please list the name(s) of the scholarship(s) you received:

Are there additional details the James M. Dye Foundation should consider when evaluating your application?

By checking yes, you confirm that you have read and understand the Acknowledgement statement at the beginning of the application.

Yes

James M. Dye Foundation Scholarship