SCHOLARSHIP APPLICATION
(Print, fill out and return to the student's guidance counselor )
STUDENT’S NAME: ______________________________________________________
ADDRESS: ______________________________________________________
______________________________________________________
SOCIAL SECURITY #: ______________________________________________________
PHONE: ______________________________________________________
PARENTS/GUARDIANS: ______________________________________________________
HIGH SCHOOL: ______________________________________________________
______________________________________________________
______________________________________________________
PHONE: ______________________________________________________
GUIDANCE COUNSELOR: ______________________________________________________
1. SCHOOL ACTIVITIES: (Band, Athletics, Clubs, etc.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
2. COMMUNITY ACTIVITIES: (Scouts, Church Groups, Volunteers, etc.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
3. PLEASE ATTACH A COPY OF YOUR HIGH SCHOOL TRANSCRIPT AND A RECENT PHOTOGRAPH
OF YOURSELF.
4. PRINCIPAL’S RECOMMENDATION
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
5. ESSAY: DISCUSS IN DETAIL YOUR INTEREST IN GOVERNMENT. (Please attach a separate
sheet or sheets as needed).
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