Walkers 4 Life Scholarship
Application Form

Please fill out the form below to be considered for a scholarship opportunity.

PLEASE NOTE: ANY application or essay created through A.I. will be immediately disqualified.

(Please acknowledge): I understand that any application or essay created using A.I. will be immediately disqualified.

Which scholarship are you applying for?

Personal Information

Full Name

Date of Birth

Month

Day

Year

Address (Street, City, State, Zip Code)

Phone

Parent/Guardian Name

Parent/Guardian Contact Number

Parent/Guardian Email

Academic Information

High School Name

High School Address

Current GPA

Expected Graduation Date

Month

Day

Year

Class Rank (if applicable)

SAT/ACT Score (if applicable)

College Information

Have you applied to an HBCU?

Yes

Have you been accepted to an HBCU?

Yes

Are you the recipient of any other scholarships/stipends associated with your financial aid package?

Yes

Please list all HBCUs you have applied to

Intended Major/Field of Study

What are your academic and career goals? (200 Character Limit)

List any leadership roles, community service, or extracurricular activities you’ve participated in.

Required Documents

Official High School Transcript

Letter of Recommendation (teacher, counselor, or community leader)

Official College Acceptance Letter

Personal essay (500–750 words): “How Attending an HBCU Will Shape My Future”

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