High School Scholarship Profile
The information provided on this form will be used by the PVHS Counselors to assist you in the search for scholarships.
Advisory Teacher
Basic Information
Full Name
*
First Name
Last Name
Student ID
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Home Phone
*
Cell Phone
Primary email
*
Check your email frequently for scholarship opportunities.
Academic Information
GPA
*
Have you taken the SATs?
*
Please Select
Yes
No
Will be taking
Have you taken the ACTs?
*
Please Select
Yes
No
Will be taking
What are your plans after high school?
*
Please Select
Attend a 4 year university & earn a bachelor's degree
Attend a 2 year college & transfer to a 4 year university
Attend a 2 year college & earn an associate degree
Attend a trade school & then become employed
Become employed full-time
Schools to which you will be applying
List schools in order of preference.
First Choice
Second Choice
Third Choice
Fourth Choice
Majors you are Considering
List majors in order of preference.
Major 1
Major 2
Major 3
Personal Information
Are you a U.S. Citizen?
*
Please Select
Yes, I am a U.S. Citizen
No, but I am a Permanent Resident
No. I am a noncitizen
Ethnic Background
*
Please Select
African-American/Black
American Indian
Chinese
Filipino
Hispanic/Latino
Italian
Japanese
Pacific Islander
Portugues
Puerto Rican
Slavic
Swiss
Vietnamese
Other
City and State of Birth
*
Did your parent(s) graduate from college?
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Yes
No
Does one of your parents work in the strawberry fields?
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Yes
No
Where is your father/guardian employed?
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Where is your mother/guardian employed?
*
Household Income is under:
*
Please Select
$25,000
$40,000
$60,000
$80,000
$100,000
Select your parents' adjusted gross income for the previous year.
Household Size
*
Please Select
1
2
3
4
5
More than 5
Only include family members your parent(s) are supporting financially.
Activities & Experiences
Did you participate in school activities/clubs?
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Yes
No
Did you participate in sports?
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Yes
No
Did you participate in community service or volunteering activities?
*
Yes
No
Do you have work experience?
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Yes
No
School Activities/Clubs
List school activities/clubs you have participated while attending high school.
School Activities/Clubs
Name of Activity, Office held, Grade level
Sport Participation
List sports you have participated while attending high school. If you need additional space include information under "Additional Sports."
Sport Participation
Name of Sport, Sport level, Grade level
Community Services and/or Volunteering Activities
List community services and/or volunteering you have participated while attending high school.
Community Service/Volunteering
Name of organization, # of hours volunteered, Duties
Work Experience
List all work experiences.
Work Experience(s)
Employer, Length of time employed, # of hours worked per week
Additional Information
Are there any special circumstances that may make you eligible for a scholarship?
Examples: Overcoming obstacles, AB540 student, ineligible for State & Federal financial aid, disabled sibling or parent.
Submit
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