Apply

If you are human, leave this field blank.

Personal Information

First Name *

Middle Name

Last Name *

Gender *

Male

Female

Marital Status *

Single

Married

Mailing Address *

Mailing Address

City

State/Province

Zip/Postal

Physical Address (If different from mailing address)

City

State/Province

Zip/Postal

Cell Phone Number

Home Phone Number *

Email Address *

Date of Birth *

City of Birth *

State of Birth *

Name of Church *

Parent/Guardian Information

Parent / Guardian First Name *

Parent / Guardian Last Name *

Parent / Guardian Address *

Parent / Guardian Address

City

State/Province

Zip/Postal

Add Parent Remove Parent

High School Education

School Name *

School City *

School State *

School Dates of Attendance *

Format: mm/dd/yyyy - mm/dd/yyyy

School Grade Point Average *

Date of Graduation

Add School Remove School

Overall High School Grade Point Average (GPA): *

ACT Test Score *

(If you do not have an ACT score to enter, please insert "N/A" in the space above.)

ACT Test Date Taken

(If you entered an ACT score above, you MUST enter the date here.)

SAT Test Score *

(If you do not have an SAT score to enter, please insert "N/A" in the space above.)

SAT Test Date Taken

(If you entered an SAT score above, you MUST enter the date here.)

Briefly describe any scholastic distinctions or honors you have received since the ninth grade.

UCTTS Applications

Please list the names of the Universities/Colleges/Technical/Trade schools to which you are applying.

UCTTS Name

UCTTS Acceptance

Yes

Select whether you have been accepted into the institution

UCTTS Address

City

State/Province

Zip/Postal

Add UCTTS Remove UCTTS

Essay

Write a paragraph expressing a complete thought on why you would like to be considered for a R.C. Blakes, Sr. Scholarship. *

Write a short essay telling the scholarship committee about you as an individual. What do you like to do? Where/How do you spend your free time? What college would you like to go and why? How your pursued degree will contribute to your role as a Christian leader? *

The purpose of the essay is help us to know you better beyond your scholastic achievements that are shown in your transcript and test scores. The essay should not exceed 500 words.

Attach Your Documents Here

Please attach all of your documentation that should accompany your application.

Student's Photo *

Drop a file here or click to upload Choose File

Maximum upload size: 2MB

JPG and PNG files only. Do not include images with other people in your photo. NOTE: File size limit has been set to 2MB for image uploaded.

ACT or SAT Score Card *

Drop a file here or click to upload Choose File

Maximum upload size: 1MB

PDF files only.

College Acceptance Letter(s)

File Upload *

Drop a file here or click to upload Choose File

Maximum upload size: 1MB

Add Remove

Student's Signature *

Draw It
Type It
Clear

PLEASE REMEMBER TO REQUEST THAT YOUR HIGH SCHOOL SUBMIT YOUR OFFICIAL ACADEMIC TRANSCRIPT ONLINE. ALSO MAKE SURE ALL REQUIRED DOCUMENTS ARE SUBMITTED TO THE RC BLAKES, SR. SCHOLARSHIP COMMITTEE TIMELY. INCOMPLETE APPLICATIONS OR APPLICATIONS FOR WHICH REQUIRED DOCUMENTS ARE MISSING WILL NOT BE CONSIDERED. ALL INFORMATION MUST BE RECEIVED BY MAY 5 WITHOUT EXCEPTION.

NOTE: It is the student’s responsibility to make sure all documents are submitted timely, and/or follow-up with the representatives who will submit documents on your behalf (i.e. contacting your high school regarding your academic transcript, etc.)

Disclaimer *

To the best of my knowledge, all information provided in this application is true and accurate.

Human Verification

R.C. Blakes, Sr. Scholarship Online Application

Personal Information

Parent/Guardian Information

High School Education

UCTTS Applications

Essay

Attach Your Documents Here

Uploading Files. Please Wait.

College Acceptance Letter(s)

Checklist

Don't want to complete your application online?

Download the application here! (PDF reader is required)