Scholarship Application

The FOCLA has established a scholarship for students attending a four year college. The student must have a 3.0 grade point average or better at graduation, achieved a score of 20 or higher on the ACT or 1400 or higher on the SAT; and be able to demonstrate a financial need for the scholarship. Please attach the most recent transcript with this application. Finally, and perhaps most importantly, the student must have a mother, father, step-mother, step-father, sister, brother, grandmother or grandfather who has been employed, is currently employed in a coal-related industry.

PLEASE SUBMIT YOUR COMPLETED APPLICATION AND ATTACHMENTS BY MONDAY, APRIL 8, 2024.

First name

Middle name

Last name

E-mail

Address

City

State

Zip Code

Home phone

Cell phone

Age

Date of Birth MM/DD/YYYY

Number in family

Family's yearly income

High School Data

High School

Address

Phone

Graduation Date MM/DD/YYYY

G.P.A.

Guidance Counselor's Name

College Data

HAVE YOU RECEIVED THE 'PROMISE SCHOLARSHIP?
YesNo

College you plan to attend

City

State

HAVE YOU BEEN ACCEPTED?
YesNo

Major course of study

Activities

Extracurricular activities, position held

Community and volunteer activities, position held

Work Experience, position and brief description of your responsibilities

Awards and honors, describe the honors and why received

What is your personal reason for applying for this scholarship?

In your own words, what are the major obstacles facing the coal industry? (300 words)

Name of your relative who is currently employed or has been recently employed in a coal-related industry

Company’s name where your relative held a job

Attach a transcript (PDF)