Scholarship Applicant Information Form

Scholarship Application Process - Step 1 of 3

To get started, please provide us your contact information and brief history of your education.

Date

MM

DD

YYYY

Applicant's Name

First Name

Last Name

Email

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Current High School or College/University

Please provide name and city.

Number of Years Attended

What grade level or year are you currently in (or have completed)?

Grade Point Avg. (GPA - on a 4.0 scale)

Please email proof of your GPA to the address provided below this form (unofficial transcript sufficient).

Have you applied for FAFSA?

The Free Application for Federal Student Aid (available at https://studentaid.gov).

Have you begun or completed your application to Daybreak Leadership College?

Via our website (with Life Pacific University).

Email us your transcript with your GPA details.