2025 Connex Foundation Scholarship Application: Contact Information

First Name *

Middle Name

Last Name *

Address 1 *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone *

Phone Type *

Country *

Email *

Connex Foundation Scholarship Application: Residency

Please note that the scholarship has citizenship status requirements. If you prefer not to state your citizenship status, you will be declined from the award pool. This information is used only for the purposes of scholarship matching and will not be shared. Evaluators will not have access to this information, nor will it be shared with anyone else.

Residency: *

Connex Foundation Scholarship Application: Current Academics

Re-Entry Students -- Adult re-entry students must meet the following requirement:

(1) Have not received any degree after high school

Current School Status

Current College Students: Your GPA is required. If you are awarded a scholarship, we may verify your GPA from your transcript; if we cannot verify your GPA, you may forfeit your scholarship.

Current Cumulative GPA

Current School Name

Current High School Students: Your GPA is required. If you are awarded a scholarship, we may verify your GPA from your transcript; if we cannot verify your GPA, you may forfeit your scholarship.

High School Cumulative GPA

High School Name

Adult Re-Entry Students and Not Currently Enrolled: Your GPA is NOT required but you may list your most recent GPA.

College Cumulative GPA

High School GPA

Most Recent School Name

Date When Last in School

Connex Foundation Scholarship Application: Education Plans

School, Degree, and Major

School level next semester *

Length of Program *

Upcoming Attendance Status *

Degree/Certification/Licence You are Pursuing *

Anticipated Graduation Date *

If double major, 2nd intended/declared major

Intended Career *

First Choice School/College

First choice school or school attending (Please write out full name of institution) *

School Type *

School City *

School State/Province *

School Country *

Second Choice School/College

Second choice school (Please write out full name of institution)

School Type

School City

School State/Province

School Country

Third Choice School/College (Please write out full name of institution)

School Type

School City

School State/Province

School Country

Extra-Curricular Activities

Instructions: For each activity in which you participated over the last four years, list it in only ONE category: extra-curricular activities, community service, or work experience.

For example: If you participated in a community service club at your school, list this in either community service of extracurricular activities, but not both.

Describe your most significant extra-curricular activities since January 2015 with your most recent listed first. If you're still participating in this activity, please estimate an end date.

If you had limited availability for activities:

If you were unable to participate in activities, explain the reason(s) and how you otherwise spend your time.

EXTRA CURRICULAR ACTIVITY 1:

Club/Organization:

Please describe the purpose of the club/organization, your role(s), and your contributions. (200 character limit)

Start Date:

End Date:

EXTRA CURRICULAR ACTIVITY 2:

Club/Organization

Please describe the purpose of the club/organization, your role(s), and your contributions.(200 character limit)

Start Date:

End Date:

WORK EXPERIENCE 1:

Employer:

Job Title & Responsibilities (200 character limit):

Start Date:

End Date:

WORK EXPERIENCE 2:

Employer:

Job Title & Responsibilities (200 character limit):

Start Date:

End Date:

COMMUNITY SERVICE 1:

Organization:

Please describe your contributions to this organization (200 character limit):

Start Date:

End Date:

COMMUNITY SERVICE 2:

Organization:

Please describe your contributions to the organization (200 character limit):

Start Date:

End Date:

Awards & Honors

Instructions: List your most significant awards and honors since 2015 here, with your most recent listed first.

Examples include: prize for best writing or artwork; scholar/athlete of the year; award for perfect attendance, etc.

AWARD/HONOR 1:

Award or Honor:

Why were you given this award of or honor? (200 character limit)

Award or Honor Date:

AWARD/HONOR 2:

Award or Honor:

Why were you given this award or honor? (200 character limit)

Award or Honor Date:

Video Submission Questionnaire

Instructions: Create a submission video answering 6 of the 10 questions below.

Steps to create a YouTube video submission (4-minute video limit): (1) Create your video on your phone, (2) Sign into YouTube, (3) From the left menu select videos, (4) Hover over the video you would like to upload, (5) Click the down arrow under "Visibility" and choose Public.

VIDEO SUBMISSION QUESTIONS:

1. Why do you believe you deserve this scholarship?

2. How will this scholarship impact your life?

3. Who is your role model and why?

4. Where do you see yourself in the next 5 years?

5. What subject is your favorite in school and why?

6. What is a meaningful experience or class you've had in school and why?

7. What role do you believe technology will play in advancing the retail industry?

8. What has driven you to follow this education path?

9. Provide an example of a time you overcame adversity.

10. Any additional thoughts or comments concerning the facilities management/trade industry you would like to share?

Your answers should highlight your unique experiences, strengths, potential, goals, and aspirations. Your goal should be to provide a strong sense of who you are, what you want to do, and who you want to be.

Please include your video link here or email it to bcowart@connexfm.com to complete your application submission.

Confidentiality Agreement

The information provided in your application will be solely used for determining a scholarship award recipient. By signing your name you are in agreement to submitting your information for consideration and you declare everything on this application is correct and accurate to the best of your knowledge.

Applicant Signature: *

Timeout Warning

2025 Connex Foundation Scholarship Application: Contact Information

Connex Foundation Scholarship Application: Residency

Connex Foundation Scholarship Application: Current Academics

Connex Foundation Scholarship Application: Education Plans

Extra-Curricular Activities

Awards & Honors

Video Submission Questionnaire

Confidentiality Agreement