03/26/2026
ATTENTION ALL ST MARTIN PARISH SENIORS!!
Print out this form and get it back to us by May 5th.
PLEASE SHARE:
La Belle Ville Civic Club
1034 Cypress Lane
St. Martinville, LA 70582
Ph. 337-519-8748
Scholarship Application
Date: ________________
Email address:_________________________________________
Name:____________________________________
Current Grade: ___________________
Address:______________________________________________________________
City: _______________________________ State: _____________ Zip:_______________
Phone Number: _______________________
Birth Date:_____________________
Father’s Name: ___________________________
Mother’s Name: __________________________ or
Legal Guardian’s Name: ____________________
Name and relationship of La Belle Ville sponsor: ___________________________________
School currently enrolled: _______________________________________________________
ACT and/or SAT scores: ACT__________ SAT ________ GPA (based on 4.0 grade scale) ________
College you plan to attend: ___________________________________________________________
Planned Major course of study: ________________________________________________________
Tuition/Fees per semester: ___________________________________________________________
School activities/ clubs (Start with present and work backwards. List extra-curricular activities, club memberships, offices held, honors, awards, and other activities.)
12th grade: _______________________________________________________________________
11th grade: _______________________________________________________________________
10th grade: _______________________________________________________________________
9th grade: _______________________________________________________________________
Interest and/or hobbies: _______________________________________________________________________
Are you presently employed? ______ Yes ________ No
If yes, Employer Name: _____________________________________________________________
Supervisor’s Name: ___________________________
Phone Number: _________________________
List all other Financial Aid applied for and/or received: _____________________________________________________________________________________________________________________________________________________________________________________________________________________
Please write an essay on how you have and will continue to help our community. What your goals are for the future and how your college career will impact our area.
Once completed, please mail to the above address Attn: Charlar Brew. All applications must be received no later than May 6th. We will not accept any applications after this date.
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