2017 20009Th MVISD JROTC BOOSTER CLUB SCHOLARSHIP

2017 20009th MVISD JROTC BOOSTER CLUB SCHOLARSHIP

DEADLINE 2 2 March 201 7 ( Place completed application with documents in an sealed envelope and place in the JROTC Booster Club mailbox )

PERSONAL DATA

1 . Name_____________________________________________________

(Last) (First) (Middle)

2. A d dress____________________________________________________________________

(Street) (City) (State) (Zip Code)

3. Date of Birth ___/___/___ Phone Number (Home) ______________ (Cell )_ ____________

4. Are you a citizen of the Unite d States ?_ __(Yes) ___(No) 5. Gender __ _( Female) ___(Male)

5. Race (Optional) ___ African American ___Hispanic ___Native American ___White ___Other

6. Name of Higher Institution ____________________________Date of Acceptance __/__/__

7. Academic Major/ Certificate ___________________________ Semester Start Date __/__/__

8. Awarded & Accepted Scholarships (please Identify if it covers books/school req fees)

Name_______________________________ Cover Books/ req school fees (Yes ) ( No) circle one

Attach an additional sheet if necessary

HIGH SCHOOL INFORMATION ( MUST BE COMPLETED BY SCHOOL COUNSELOR ONLY AND PROVIDE A COPY OF YOUR TRANSCIPT )

Anticipated Graduation Date __/__/__

Currently enrolled in the M.V. JROTC Program ___ (Yes) ___ (No)

Un -weighted H.S. GPA ________ Class Rank _____ of _____

__________________________________________________________________________

(Counselor Signature) (Date) (Telephone Number) (Email Address)

Student Information: List any High School activities/offices held, volunteer work, leadership awards, academic honors, employment opportunities in chronological order. (Attach additional sheet if necessary.)

Positions/Activities/Honors Year(s)

____________________________________________________ _____________________

I grant permission to release information from my application and essay to the Scholarship Committee.

___________________________________________________________________________________

(Student Signature) (Date)