Online Scholarship Application

Scholarship Application

You must submit your materials the Foundation's on-line application system. You can submit at the time of filling out application and upload your files. Make sure all forms have been signed. 

I have read and understand the conditions of the Antoine Cooksey Scholarship as explained on the Antoine Cooksey Scholarship Fund Page. I affirm that I plan to pursue a collegiate education and receive a degree from an accredited college or university. I also understand that I must have received an accepted a letter of acceptance to attend accredited college or university. I give permission to officials of my institution to release transcripts of my academic record and other information requested for consideration for the Antoine Cooksey Scholarship. I understand that this application will be available only to qualified people who need to see it in the course of their duties. I waive the right to access letter of recommendation written on my behalf. If selected as a Antoine Cooksey Scholar, I agree to attend the awards ceremony whether in person or online. I affirm that all of this application, is my own work for formally cited from other sources. I affirm the information contained herein is true and accurate to the best of my knowledge and belief. 

Clear
Sign your name accepting the terms of this application for scholarship.
Date you filled out the form
Country
Enter Your School Details Here

How is Permanent Residence Established?

Please check or fill in the blanks below for proof of residence.

Enter age for proof of permanent residence
Will you be studying in Europe, Africa, the Middle East, or India during the Spring semester?

Name of Counselor, Teacher or Advisor

Education/Extracurricular Activities/Memberships/Community Service (civic and professional)

Enter School Name, Location, Dates Attended
College/High School Activity, Dates, Offices
Activity, Role, # of weeks/Dates, Current Status(Active/Not Active)
Activity, Role, # of weeks/Dates, Current Status(Active/Not Active)
Type of Work, Employer, Dates, Average # of Hours/Week
Upload a copy of your photo with your application submittal. File Name Format: FirstName_LastName_Photo.png
Upload a 2-3 minute video explaining why you are the best candidate for this scholarship
Upload a copy of your Official Transcript. Name format for file: FirstName_LastName_Official_Transcript.(pdf, doc, png)
Upload a copy of your typed Essay Submittal. File Format as FirstName_LastName_EssaySubmittal.(pdf,doc)
Upload a letter or Proof of Acceptance to the College/University. Name file as FirstName_LastName_LetterofAcceptance.(pdf, doc)
Upload Resume. Name file as FirstName_LastName_GeneralResume.(pdf, doc)
Upload Letter(s) of Recommendation. Name file as FirstName_LastName_LetterofRecommendation.(pdf, doc)
Upload a copy of ID or supervisory letter on station letterhead. Name file as FirstName_LastName_Proof.(pdf, doc)
Clear
Sign your signature in the box before submittal

Contact Us

Antoine Cooksey Foundation LLC

P. O. Box 714, Minden Louisiana 71058

(443) 351-8410

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