Scholarship Application

Investing in students who lead with service and care.

Use this application to apply for foundation scholarship support. Your progress saves automatically on this device until you submit or clear the form.

Apply Now

Before You Begin

Help the review committee understand your goals and service.

What to Prepare

Have your school information, GPA, intended program, activities, service experience, financial need summary, and one reference ready. Each individual may receive up to $1,000 awarded by the Foundation.

Saved Drafts

The form autosaves as you type. If you close the page and return using the same browser, your draft will still be here.

Official Documents

Near the end, you will confirm that you understand how to send required documents through Parchment to the foundation scholarship inbox.

Application Form

Student Information

Fields marked with an asterisk are required. The information you submit is saved to the application database and emailed to the scholarship team.

Scholarship Selection

Scholarship applying for * Application term *

Applicant Details

First name * Middle name Last name *

Date of birth * Email * Phone *

Street address * City *

State * ZIP code * County

Academic Information

Current school * School type *

Expected graduation date * Cumulative GPA * Student ID, if applicable

College, university, or program you plan to attend * Intended major or field of study *

Degree or credential sought * Enrollment status *

Service, Leadership, and Need Community service, employment, leadership, or extracurricular activities * Honors, awards, certifications, or special recognition Financial need summary *

Foundation Values Paragraph Personal paragraph *

Minimum 250 characters. Write in your own voice and connect your goals to service, dignity, education, and community care.

Reference

Reference name * Reference relationship * Reference email *

Reference phone

Required Documents

After submitting this application, go to Parchment and add scholarships@cltimmons.org as the recipient so Parchment sends your official transcript and any required resume or supporting document directly to the foundation scholarship team.

I understand that I must use Parchment and enter scholarships@cltimmons.org as the recipient for official documents. Optional document notes

Certification I certify that the information in this application is accurate to the best of my knowledge. I agree that The Cathy Lance-Timmons Foundation may contact me about this application.

Your draft is saved automatically on this device.