Scholarship Contest Submission Form

Submit Your Essay :: The 2012 Indpendence Day Scholarship Essay Contest

Before submitting your essay, please download and review the official guidelines (a .pdf file) if you haven't done so already. Please read these guidelines carefully before submitting your entry.

All fields must be filled out, and all essays must be received electronically by 11:59pm, MST, Sunday, July 2, 2012. No exceptions for late entries.

Please note: when you have successfully submitted your essay, you should see a "Scholarship Entry Received, Thank you for your entry!" page.

Personal Information (Required)

First Name	Required.
Last Name	Required.
Address	Required.
	Required.
City	Required.
State	Required.
Zip	Required.
Phone	Required.
Email Address	Required.
Birthdate	Required.
Grade	Required.

Your School (Required)

School Name	Required.
School Phone	Required.
School City	Required.
School State	Required.
School Zip	Required.
Teacher's Name	Required.
Teacher's Email Address	Required.

Your Essay (Required)

Upload Your Essay	Required. Please upload the correct file type. .doc/.docx /.pages /.odt only
Total World Count	Required.

Your Pledge (Required, Please Check the Box.)

I have read and understand the guidelines. The essay submitted is original and of my own creation. Required.

Personal Note (Optional)

If you'd care to submit a brief personal note with your essay, please do.