
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.
How is Permanent Residence Established?
Please check or fill in the blanks below for proof of residence.
Name of Counselor, Teacher or Advisor
Education/Extracurricular Activities/Memberships/Community Service (civic and professional)
Antoine Cooksey Foundation LLC
P. O. Box 714, Minden Louisiana 71058
(443) 351-8410
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