Marocchi Scholarship Application Form – High School

This application is for graduating High School seniors.

Name*
First Middle Last
Email Address*
Personal email address preferred to school email address.
Enter Email Confirm Email
Phone Number*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
School Name*
School District (County/City)*
Counselor*
Counselor Email Address*
College/University you plan to attend*
ROTC Branch of Service*
Anticipated High School Graduation Date*
Type of Diploma (Standard, College Prep, Advanced, etc.)*
Extracurricular Activities*
Include number of years of participation, any other supporting details.
Community Service Activities*
Include number of years of participation, any other supporting details.
Personal Statement*
In 500 words or less, describe the reasons why you wish to pursue a career in the military services, and the personal benefits you hope to reap from your pursuit of higher education through ROTC.
Accepted file types: doc, docx, pdf, Max. file size: 128 MB.
Is there anything else you would like us to know?
I certify that all information contained in this application is true and correct to the best of my knowledge.*
- Agree
Parent/Guardian Name (if under 18)
Parent/Guardian Email Address (if under 18)