Make an Impact Today

Registration to become a Community Heart Scholar is now open. Please complete the form below to be considered.

Community Heart Scholar Application

Congratulations, you're taking the first step to becoming a Community Heart Scholar! Please see the qualifications you must meet below in order to be eligible to become a Community Heart Scholar

Qualifications

Must be a class of 2024 high school, graduating senior or enrolled in a college/university.

Must be in good standing with your school
Must have made an impact in your community!

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Cumulative GPA

Zip Code of the Community You Served

Name of your current High School, College. or University

Address of your current High School, College. or University

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Describe your community service project

(what'd you do?, who'd you serve?, what impact did you make?, etc.)

What challenge did your community service project help resolve?

How did community service change your life?

Provide Contact Information for a Reference Who Can Vouch For Your Community Service Work