Tell us about yourself

All fields marked * are required. Uploads accept PDF, JPG, or PNG.

Application deadline: April 30, 2026. Your progress autosaves once you enter your email.

Personal Information

First Name *

Last Name *

Gender

Email *

Cell Phone

Address

High School Information

Graduation Year

Cumulative GPA

High School Name

City / State

Awards & Honors

College Information

College / University

City / State

Intended Major

Expected Graduation

Short Essays

Career Objective

How are you an asset to your community?

Describe your leadership experience

What are your study habits going into freshman year?

Additional comments

References

Please provide two references who are not related to you.

Reference 1

Name *

Phone *

Email *

Reference 2

Name *

Phone *

Email *

Document Uploads

Most Recent High School TranscriptClick to upload (PDF, JPG, or PNG, ≤100 MB)

Most Recent ACT / SAT ScoreClick to upload (PDF, JPG, or PNG, ≤100 MB)

Agreement & Signature

I certify that the information provided is true and complete to the best of my knowledge, and I authorize the Parker Family Foundation to verify any information submitted. *

Signature (Full Name) *

Date *