2019 KBA High School Senior Scholarship Application

Applicant Contact Information

First
Last
Suffix
Email
Phone
Mailing Address
City
State
Zip
Date of Birth

Parent Information

Parent's First Name
Parent's Last Name
Parent's Station
Full-time or Part-time?
Length of Employment?

Extracurricular Activities

Please list your extracurricular activities here:

In order for the application to be processed the student must complete the information above and then email the following required documents to kba@kba.org

Copy of High School Transcript

Copy of ACT and/or SAT (if not listed on transcript)

Letter of recommendation from faculty member, employer or community leader

Letter from parent's employer stating employment for longer than 1 year

Deadline for applications is Friday, April 19, 2019

   - denotes required fields