Microsoft Word - General Scholarship Application by VII9jovw

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									                           APPLICATION FOR SCHOLARSHIP                        (Complete Front & Back)

Name of scholarship applying for:

Personal Information:


 Name:

 Address:

 Phone:                                                   Date of Birth:




Educational Information:

 Rank after 7 semesters:                 /                     GPA:                   / 4.0

 SAT scores: Math                         Verbal                            Writing

 Colleges you have applied to in order of preference:

 1.                                Have you been accepted?                 Anticipated yearly cost:

 2.                                Have you been accepted?                 Anticipated yearly cost:

 3.                                Have you been accepted?                 Anticipated yearly cost:

 Intended Major:



Family Information:

               Report information for the person who reports you as a dependent on their income tax.

 Father/Guardian:

 Occupation:                                                   Employer:

 Mother/Guardian:

 Occupation:                                                   Employer:

 Brothers and Sisters:

 Name:                                             Age:           School or work location:

 Name:                                             Age:           School or work location:

 Name:                                             Age:           School or work location:



                                                                                                       OVER
Additional Information:

 How do you expect to finance your college expenses? Please specify % from listed sources:

              Parents                   Loans                    Scholarships/Grants                     Other

 Jobs held (including summer) and length of time employed:




 Please list your special interests, honors, awards and extra-curricular activities during high school: (include year)




References:

 Give 3 names of teachers who would be able to comment on your personal qualifications and reliability:

 1. Name                                           Address                                            Phone:

 2. Name                                           Address                                            Phone:

 3. Name                                           Address                                            Phone:

 Give 3 names of community members who would be able to comment on your personal qualifications and
 reliability:

 1. Name                                           Address                                            Phone:

 2. Name                                           Address                                            Phone:

 3. Name                                           Address                                            Phone:



      Attach a one page typed essay explaining your goals, your career
     expectations and exactly why you are applying for this scholarship.

								
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