Application for the 2025 Elaine P. Wynn Stronger Together Scholarship

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* 1. First Name

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* 2. Last Name

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* 3. Student Number

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* 4. What is your date of birth?

Date of Birth

Date

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* 5. What is your gender?

Identify as Male

Identify as Female

Other

Prefer not to answer

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* 6. Which race or ethnicity best describes you? Select all that apply.

American Indian/Alaskan Native

Asian

Black/African American

Hawaiian/Pacific Islander

Latino/Hispanic

White/Caucasian

Mixed Ethnicity/Other (please specify)

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* 7. Are you currently a senior in high school?

Yes

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* 8. What is the name of the school you are currently attending?

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* 9. What is your cumulative GPA (unweighted)?

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* 10. What is your weighted GPA?

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* 11. What is your phone number?

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* 12. What is your Parent/Guardian's phone number?

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* 13. What is your Parent/Guardian's email address?

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* 14. What is your mailing address?

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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* 15. Which of the following school types do you plan to attend next year?

College

University

Accredited Trade School

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* 16. List school(s) you are applying to for the 2025-26 school year.

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* 17. CERTIFICATION STATEMENT REQUIRED OF ALL APPLICATIONS: All of the information provided on this application is true and complete to the best of my knowledge. I certify that I plan to attend a college/university/trade school for the upcoming academic year. I understand that failure to enroll in college may result in the forfeiture of any awarded scholarship. (Type your name and date in box below to acknowledge your consent).

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* 18. AUTHORIZATION FOR RELEASE OF RECORDS: To comply with the provisions of the Family Educational Rights and Privacy Act of 1974, permission is hereby given to school officials to release the school records and other requested information for consideration in the Communities In Schools of Nevada Scholarship Program. I hereby authorize Communities In Schools of Nevada to utilize information within my application and my likeness for publicity and public relations purposes. (Type your name and date in the box below to acknowledge your consent).

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* 19. Enter your Communities In Schools (CIS) of Nevada Site Coordinator's name in the box below.

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* 20. Provide a personal statement that describes how attending post-secondary school will contribute to your academic and/or career goals. Highlight your personal story and what drives you to pursue post-secondary education.

Your answer MUST contain 250 words or more to be eligible for this scholarship.

Please attach a copy of your 250+ word essay as a DOC or PDF file.

PDF, DOC, DOCX file types only.

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* 21. Please attach a copy of your most updated transcript.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Thank you for completing this application!
Questions or concerns? Please contact scholarships@cisnevada.org.