Thank you to all who applied for the 2019 Give & Grow Scholarship Program. Winner's will be announced in April 2019.

Entry Form

General Information

- Choose a State -

Volunteer Information

List up to three examples of significant community activities in which you have volunteered for during the past four years. Demonstrate a range of interests.

Community Activity 1:


Community Activity 2:


Community Activity 3:


Extra-Curricular Activites

Describe extra-curricular activities you have been involved in the last four years. List up to 9 entries.

Extra-Curricular 1:

Extra-Curricular 2:


Extra-Curricular 3:


Extra-Curricular 4:


Extra-Curricular 5:


Extra-Curricular 6:


Extra-Curricular 7:


Extra-Curricular 8:


Extra-Curricular 9:


The essay must be your original work. Please write up to 500 words in the space below.

Tell us about your volunteer experience and why it is important to you.

Other Materials

Please submit (under separate cover) your official high school transcript and a letter of recommendation electronically to:

or mail to:

Attn: Community Relations Dept
PO Box 800
North Liberty, IA 52317

All materials must be submitted by the deadline date of February 25, 2019.

* required

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Thank you for your application!