2017 Stratford Senior High School Ptsa

2017 Stratford Senior High School Ptsa

2017 STRATFORD SENIOR HIGH SCHOOL PTSA

STUDENT SCHOLARSHIP APPLICATION

Name:
Address:
Sex: M F
Anticipated College Major:
Extracurricular Activities at Stratford
(In order of significance) / Years participating
Fr. So. Jr. Sr. / Leadership position, if any
1.
2.
3.
4.
Activities outside of Stratford HS
(Service organizations, club sports, church, Scouts, etc.) / Years participating
Fr. So. Jr. Sr. / Leadership position, if any
1.
2.
3.
4.
Work Experience
(Employer name and position) / Begin date
Month Year / End date
Month Year / Hours per week
1.
2.
3.
4.
Community Service
(Specific activities/events you have done for the community through other groups or independently) / Years participating
Fr. So. Jr. Sr. / Total Hours(for all years you have participated in this activity)
1.
2.
3.
4.
Colleges you have applied to:
(#1 = your first choice school – list your top four choices. Or, if you have made a college decision, only list the college you will be attending) / Applied for Scholarships
Yes No / Amount of scholarships received or “don’t know”
1.
2.
3.
4.
Other scholarships applied for: / Application pending
(please checkif your application
still pending) / Amount received
1.
2.
3.
4.

TOTAL FAMILY INCOME (Scholarships are based primarily on need; check one area)

_____ Below $20,000 _____ $20,000-$50,000 _____ $50,000-$75,000

_____ $75,000-$110,000 _____ Above $110,000

Names & Ages of Siblings:

Number of siblings currently enrolled in college or university:

Mother's Employer:

Father's Employer:

Essay: In an essay of 250 words or less, please describe an event, experience, or activity you have had or been a part of that has contributed to your personal growth and how this growth has influenced your ideals and choices in life.

Transcript: A transcript is required for your application. Please request an unofficial transcript from Mr. Rutland and attach it to your completed application. The transcript does not need to be in a sealed envelope.

Teacher recommendations: Please put your name on the attached recommendation forms and

give the attached recommendation forms to two teachers. These forms will be completed and returned directly to Ms. Franklin. Please attach to your application, a list naming the two teachers you gave the forms to.

**** Checklist ****

  1. Complete Application
  2. Complete essay and attach to theapplication
  3. Request unofficial transcript from Mr. Rutland and attach to your completed application
  4. Make Three (3) copies of your completed application package.
  5. Give teacher recommendation forms to two teachers - to be returned directly to Ms. Franklin.
  6. Attach to the front of your application, the list of teachers that you gave recommendation forms to. Only one copy of this list is needed.
  7. Turn in 3 copies of your completed application package (application, essay and transcript) to Ms. Franklin in room 224 by Friday, March 31, 2017.
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