• High School Scholarship Application (2012-2013)

    The information provided on this form will be used by the High School Scholarship Committee to select recipients for scholarships. It is important that you give complete details concerning your college/career plans, activities and financial information.

  • BASIC INFORMATION

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  • Academics

  • Schools to which you are applying

  • Major(s) You Are Considering

    In order of preference, list the major(s) you are considering (Very important for scholarship eligibility).

  • Estimated cost

  • PERSONAL DATA:

    (optional scholarship identification for specific scholarships)

  • REFERENCES:

    Please list one educator and at least one community person who would recommend you for a scholarship. Please do not list the person who completes a scholarship recommendation for you.

  • SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

    List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.

  • Needs-based Scholoarships Parent Financial Information

    If you want your student to be considered for need-based scholarships, you will need to make available a copy of the first page of your most resent tax return and you must complete the information requested below. All information supplied by you will be treated as confidential. If you chose not to submit any financial information, your student will not be considered for need-based scholarships. Most donors require a financial statement. If your financial circumstances change after you have submitted this form, please feel free to contact us. Complete this entire page if you want your student to be considered for need-based scholarships.

  • Directions

    Complete only the items marked with an asterisk (*) if you do not want your student to be considered for need-based scholarships. Stepparent information may replace Mother or Father's information: Please report earnings for the parent/stepparent who the student has lived with most of the time (over 50%) in the past twelve months. If the student lives with both parents equally then provide answers about the parent/stepparent who provides the most financial support.

  • Other income that can be used for educational purposes (inheritance, college funds, etc)-do not include home equity, IRA's or other retirement accounts (optional):

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  • Should be Empty: