Scholarship Application

Name(Required)

First Last

Permanent Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Phone(Required)

Email(Required)

Date of Birth(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone(Required)

Parent/Guardian Email(Required)

Parent/Guardian Address

Check if same as self

Parent/Guardian Address

Street Address Address Line 2 City State ZIP / Postal Code

Education | High School

Are you currently in college?(Required)

If yes, skip to the next section.

Yes

Will you be attending both semesters of the 2022-2023 term as a full time student?(Required)

Part-time students are not eligible for BetterLife's National Scholarship.

Yes

High School

Date of Graduation

Class Rank

Out of

GPA

SAT or ACT Score

If the COVID pandemic has impacted the availability of these, please note that in your application here.

Attach an official high school transcript, including your completed junior year and most recent SAT/ACT scores. If opting to mail in documents, all information must be postmarked or received by March 1, 2022.

Mail materials to BetterLife C/O Member Engagement P.O Box 1527, Madison WI 53701 or email to memberengagement@betterlifeins.com

Drop files here or

Max. file size: 100 MB.

Education | College

College/technical school attending(Required)

Financial Aid Address(Required)

Please list the address of the financial aid office building. If not applicable, please list college/school address.

Street Address Line 2 City State ZIP / Postal Code

Please attach a copy of the documentation stating you have been accepted by the college/university/technical/vocational school.

If necessary, mail materials to BetterLife C/O Member Engagement P.O Box 1527, Madison WI 53701 or email to memberengagement@betterlifeins.com

Max. file size: 100 MB.

Currently enrolled in a college or technical school?(Required)

Yes

How long have you attended?

Current GPA

Graduation MO/YR

Please upload or have your college or technical school send a current official transcript. All information must be postmarked or received by March 1, 2022.

Mail materials to BetterLife C/O Member Engagement P.O Box 1527, Madison WI 53701 or email to memberengagement@betterlifeins.com

Max. file size: 100 MB.

Upload any references you'd like to include with your application (optional).

Max. file size: 100 MB.

Financial Need

What will be the total estimated cost (tuition, room/board, books, incidentals) for the next school year?(Required)

How are you going to pay for your education? Please indicate the percentage (%) in each category.

Parental contribution + scholarships/grants + self = 100% total

% Parental Contribution(Required)

Scholarships/Grants(Required)

Self = (Work, Savings, Loans)(Required)

Branch/Lodge Involvement

This section will not be used for judging.

Are you involved in a branch or lodge?(Required)

Yes

If yes, what branch/lodge #?

If no, why?

There is no active branch or lodge in my area

I don't know what that is

I am too involved in other activities

Other

If other, please describe

Essay

Include the following in your essay: What are your career goals? List your activities: include school activities, community involvement, volunteerism, academic honors, branch/lodge participation, and employment history (beginning with the most recent). Please explain how this scholarship would help you financially.

Essay(Required)

Max. file size: 100 MB.

Acknowledgement and Signature

Upload any other transcripts/standardized test scores/acceptance letters here

Max. file size: 100 MB.

Check any materials that you will be mailing.(Required)

High School transcript

SAT/ACT scores

Documentation of post-secondary school acceptance

College/technical school transcript

All submitted electronically

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Name

This field is for validation purposes and should be left unchanged.

Scholarship Application

Scholarship Application

2022 BetterLife National Scholarship Application

Education | High School

Education | College

Financial Need

How are you going to pay for your education? Please indicate the percentage (%) in each category.

Branch/Lodge Involvement

Essay

Acknowledgement and Signature