FRANK JAMES-SKYLINE SCHOLARSHIP APPLICATION

Student's Name

First

Last

Last 4 Digits of Social Security No.

Home Number

Cell Number

High School

County of Residence

Student's Address

Street Address

Address Line 2

City

State/Province/Region

Zip/Postal/Code

Country

Student's Email

Age

Date of Birth

Sex:

Married

Single

Father's Name

First

Last

Father's Phone

Mother's Name

First

Last

Mother's Phone

I primarily live with my:

Father

Mother

Both

In the event you are selected, how would you like your parents’ names listed?

Are there additional children in the family, other than yourself? *

Please list any children in the family, stating their name, age, grade and any contributions to household income. *

THE FOLLOWING INFORMATION WILL BE KEPT IN STRICT CONFIDENCE

Father’s place of employment

Adjusted Gross Income (from most recent Income Tax Return)*

Mother’s place of employment

Adjusted Gross Income (from most recent Income Tax Return)*

Please list other sources of income and amounts including Social Security, if any:

Please list other college scholarships you have received and the amounts:

* 2024 Tax Return Form 1040, Line 11.

Please include a copy of this section of the tax return with this application.

This information will be filed in the school counselor’s office.

Type of Scholarship (Please check one of the two below)

College/University (4 years)

Community/Technical College (2 years)

Name(s) of community/technical colleges or colleges/universities where you have been accepted

Name of college you plan to attend

Address of college you plan to attend

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Course of study you plan to pursue

Number of students in your high school graduating class

Your class rank

Class offices held and year

Honors received and year

Clubs you hold memberships in

Years

Club Offices Held

Years

Involvement in sports or other school activities

Hobbies

Church you attend and activities involved (optional)

State your reason for applying for the scholarship, including special needs or family circumstances and plans for the future.

APPLICANT CERTIFICATION

I hereby certify that the information on this application is complete and correct to the best of my knowledge. I hereby grant permission to SkyLine Membership Corporation to contact my school, if necessary, and to use my name and photograph in promotional materials in the event that iI am selected to receive a scholarship.

Signature of Applicant

Date

Please upload the following in a JPEG or PDF format only:

Upload a letter of recommendation from high school principal, guidance counselor, teacher, youth leader or community leader.

Upload a complete high school transcript, including results of all college entrance exams.

Tax Form

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Letter of Recommendation

Upload your File Here

Transcript

Upload your File Here

Deadline for Scholarship (Public High School Seniors): Friday, March 7. Complete all fields and submit your online application or you can request a physical application to return to your high school guidance department by Friday, March 7.

Deadline for Scholarship (Private School or Home School Seniors): Friday, March 14. Complete all fields and submit your online application or return completed physical application to SkyLine, Attn: Hallie Grubb, PO Box 759, West Jefferson, NC 28694, or you may drop it off at any of our five Customer Center locations: West Jefferson Call Center, 1079 NC Hwy. 194 North, West Jefferson; West Jefferson Smart Home, 1060 Mount Jefferson Road, West Jefferson; Sparta Customer Center, 199 Grayson Street, Sparta; Banner Elk Customer Center, 20 High Country Square, Banner Elk; Boone Customer Center, 217 Wilson Drive, Boone.