Hamilton High School

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Hamilton High School

Local Scholarship
Application Packet
for
Graduating Seniors
2010 - 2011

Application Packet Deadline: March 31, 2011
SCHOLARSHIP PROGRAM

Student Responsibilities:

Seniors wishing to be considered for scholarships should file a scholarship folder in the High
School Counseling Office for use by all local and school organizations. This folder will
include in this order:

1. A picture of the student and typed cover page with your name and date submitted.
2. A form letter signed by parents giving permission to show confidential information to
the scholarship committee from the donor groups.
3. A statement of financial need
4. A copy of confirmation that you completed your FAFSA (Free Application for Federal
Student Aid available at: www.fafsa.ed.gov )
5. Student Information Form
6. Accomplishments Form
7. One or two letters of recommendation, and two Evaluation Forms from people in the
community, including teachers, employers, clergy and civic leaders. Give each person
writing a letter of recommendation a completed copy of the “Student Information Form”
to use as a guideline. All recommendations and evaluations must be from different
people.
8. A letter or essay from the student entitled, “WHY I WISH TO BE CONSIDERED FOR
A SCHOLARSHIP AND HOW I PLAN TO USE THE MONEY TOWARD MY FUTURE
EDUCATION”.
9. Copies of acceptance letters from colleges you are considering.

School Responsibilities:

1. Transcripts.
2. Provide scholarship information.
3. Cooperative with local scholarship committees to determine winners.
4. Cooperative with representatives of colleges visiting High School.
Form Letter: Parental Permission to Use Confidential Information

February 2010

Dear Parents:

It is necessary to compile personal information about seniors in order to select fairly
those to whom scholarships will be awarded. This letter is a request for your permission
to allow us to compile the necessary information and use it for scholarship purposes.
The information will be used by authorized personnel involved in the selection of
scholarship winners.

If you have questions about the procedure being used, please feel free to contact the
school. If you approve of the use of this information for scholarship purposes, please
sign below. PLEASE NOTE: No applications will be accepted after the first Monday in
April at 3:00 p.m.

Student Name:

Parent Signature:______________________________________________
STATEMENT OF FINANCIAL NEED

1. Student Name:
Address: City:
Telephone:
2. College Plans
Name of College:
Major/Field of Interest:
3. Parent/Guardian Information:
Occupation:
Employer:
4. Please indicate the family adjusted gross income:
5. Number of people dependent on the above income:
6. Family Members in College Year School Attending
Freshman, Sophomore, Junior,
Senior, Grad

7. Are there any extraordinary expenses such as medical, dental, or others?
Explain:
8. How much money will the student have of his/her own to help defray expenses?

9. If the above statements do not adequately cover your particular situation,
please describe circumstances below. (Example: More than one child in
college, illness in family, separation or divorce, etc.):
HAMILTON HIGH SCHOOL
STUDENT INFORMATION FORM

When you have completed this form (type or print legibly), make copies so that you can give
one (1) to every person you ask for a letter of recommendation. MAKE SURE IT IS GIVEN
TO THE PERSON AT LEAST TWO WEEKS BEFORE THE RECOMMENDATION IS DUE
TO ARRIVE AT ITS DESTINATION (EVEN EARLIER IF POSSIBLE!).

A. Personal Data Section:
1. Full legal name:
2. Parents’ names:
3. Home address:
4. Father’s employer:
5. Mother’s employer:
6. Test Scores (if available): SAT I: Verbal Math ___
SAT II: Lit/Writing__________ Math__________ Other____________
ACT Comp: ___
6a. Overall GPA: ___ Class Rank: ____ of ___ students
7. Name of person/organization to whom this recommendation should be sent?

8. Purpose of recommendation?

9. What colleges are you considering?

10. What subject or subjects are you considering for your college major?

11. What careers are you considering?

12. Do you have job or volunteer experience in these areas?

13. What are your best subjects?

14. What are your hobbies or special interests?
15. List five words you would use to describe yourself:

16. What special talents do you possess? (music, sports, etc.)

17. List three (3) or more high school teachers who know you best:

B. Activities and Awards: Starting with the 9th grade, list your experiences,
activities, awards, etc. and indicate the year(s) in which they took place.

1. SCHOOL ACTIVITIES 2. ATHLETICS
Grade(s): Activity: Grade(s): Activity:
______________ ______________
______________ ______________
______________ ______________
______________ ______________
______________ ______________

3. LEADERSHIP EXPERIENCES 4. COMMUNITY ACTIVITIES
Grade(s): Office/Position: Grade(s): Activity:
______________ ______________
______________ ______________
______________ ______________
______________ ______________
______________ ______________

5. AWARDS/HONORS 6. WORK EXPERIENCE
Grade(s): Award: Grade(s): Job:
______________ ______________
______________ ______________
______________ ______________
______________ ______________
______________ ______________

7. Give any other pertinent information about yourself:
ACCOMPLISHMENTS: GRADES 10 THROUGH 12

School Activities:

List all activities in which you have participated during high school. Include clubs, teams,
musical groups, etc., and major accomplishments in each.

Activities Year Accomplishments
10 11 12

Community Activities:

List community activities in which you have participated and note any major
accomplishments in each. These should be any activities outside of school in which you
participated for the betterment of your community. For example: church groups, clubs
sponsored outside the school, Boy or Girl Scouts, volunteer groups, or community art
endeavors.

Community Activity/ Year Activity
Organization 10 11 12

________________________________

Work Experience:

List below any job experiences that you have had:

Job Year Activity
10 11 12

Attach additional sheets if necessary.
STUDENT EVALUATION FOR: ______________________________

Evaluator: Please fill in the information below and return to the student or the Hamilton Counseling Office. A student
Information Form is available in the Counselor’s office if you would like to refer to it for the purposes of filling out this
form.

N=No basis 1=Below average 2=Average 3=Good 4=Excellent 5=Truly
for judgment outstanding

1. PERSONAL QUALITIES AND STRENGTH OF CHARACTER:
rating______ Comments:
(1-5 or N)

2. ACADEMIC ACHIEVEMENT:
rating______ Comments:
(1-5 or N)

3. WORK HABITS AND ATTENDANCE:
rating______ Comments:
(1-5 or N)

4. INVOLVEMENT IN SCHOOL ACTIVITIES:
rating______ Comments:
(1-5 or N)

5. COMMUNITY SERVICE AND ACTIVITIES:
rating______ Comments:
(1-5 or N)

6. OVERALL MERIT AS A STUDENT, CITIZEN, AND SCHOLARSHIP/AWARD CANDIDATE:
rating______ Comments:
(1-5 or N)

7. OTHER DESCRIPTORS THAT COME TO MIND REGARDING THIS STUDENT:
rating______ Comments:
(1-5 or N)

8. FURTHER INFORMATION THE SCHOLARSHIP COMMITTEE SHOULD CONSIDER IN
EVALUATING THE STUDENT’S APPLICATION FOR SCHOLARSHIPS AND AWARDS
___
___
___

Evaluator:__________________________________ Title:____________________________

Date:___________________ Length of acquaintance with student:____________________
STUDENT EVALUATION FOR:_______________________________