Scholarship Application

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Scholarship Application ***************************************************************************************************

Applicants Name:___________________________Class Rank____/____ Parent or Guardian Name:__________________________GPA________ Mailing Address:_____________________________________________ Email Address:_______________________________________________ Home Telephone Number:________________________ High School Name:____________________________________________ Community Service and Community Involvement:_____________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _____________________________________________________________.

Honors and Awards:_____________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _____________________________________________________________. School Offices held/Activities involved in:(9-12)______________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _____________________________________________________________. How do you plan to finance your education:__________________________ ______________________________________________________________ _____________________________________________________________. What School do you plan to attend:_________________________________. Area of Interest:________________________________________________. In 200 words or less please explain a project or projects you have been involved in which has been a benefit to your community and the people who live there. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________

______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _____________________________________________________________. I attest that this application was completed in good faith and is, to the best of my knowledge, correct.

Signature of Applicant____________________________Date_________ Signature of Counselor___________________________Date__________