Christopher J. Denmark Memorial Scholarship

							          Christopher J. Denmark Memorial Scholarship



Student’s Name ____________________________________ DOB ________________
Home Address ___________________________________________________________
             ___________________________________________________________
Telephone Number _______________________________________________________

Father’s Name ___________________________________________________________
Address (if different from your address) _______________________________________
       Occupation ________________________________________________________
       Did he attend/graduate from Bourne High School? _________________________

Mother’s Name __________________________________________________________
Address (if different from your address) _______________________________________
      Occupation ________________________________________________________
      Did she attend/graduate from Bourne High School? ________________________

Brothers and Sisters
Name                         Age           Present School, College or Occupation
_____________________        ________      ____________________________________
_____________________        ________      ____________________________________
_____________________        ________      ____________________________________
_____________________        ________      ____________________________________
_____________________        ________      ____________________________________


How long have you attended Bourne High School? ______________________________
Have you been accepted to any college(s)? Please list: ___________________________
_______________________________________________________________________
_______________________________________________________________________
Which do you plan to attend? _______________________________________________
In what field are you planning to specialize? ___________________________________
_______________________________________________________________________
Have you been offered any financial aid? If so, tell the sources and amounts. _________
_______________________________________________________________________
How much have you saved yourself toward your college expenses? ________________
_______________________________________________________________________
How do you plan on financing the remainder of your college expenses? ______________
________________________________________________________________________
________________________________________________________________________
Are you employed now? __________________ Where? __________________________
What are your employment plans for this coming summer? ________________________
________________________________________________________________________
Please list all contributions that you have made to your school, your church and your
town, including extracurricular activities, civic and community work.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


List honors that have been bestowed upon you and/or awards (academic, athletic, etc.)
which you have received:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________




ON A SEPARATE SHEET OF PAPER, PLEASE STATE IN APPROXIMATELY
200 WORDS WHY YOU THINK YOU MERIT A SCHOLARSHIP.




ALL INFORMATION WILL BE CONSIDERED CONFIDENTIAL



PLEASE FILL THIS FORM OUT COMPLETELY AND ACCURATELY. IT SHOULD BE
RETURNED NO LATER THAN 2:00 P.M, WEDNESDAY, MARCH 31, 2010


                                  GUIDANCE OFFICE
                                BOURNE HIGH SCHOOL
                                  BOURNE, MA 02532




Student Signature: ________________________________________________

Parent Signature: _________________________________________________