Independence Education Association

(revised 11-15)

Independence Public School Memorial

Scholarship Application

Two $250 awards are available to Independence Public School graduating seniors.

*Recipients must have attended Independence High School as a full time student for the preceding two school years and hold a 2.5 cumulative grade point average to be eligible.

Due Date: March 1

Please return completed typed application to Mrs.Woychik. Use additional sheets as necessary.

Name:

Address:

Graduation Date:

College you plan to attend:

Have you been accepted? Yes/No

Intended Major:

What are your interests/hobbies?

Describe your scholastic accomplishments over the past 4 years:

How have you contributed to the betterment of the community and school?

What organizations do you belong to and what is the premise of these organizations?

A check will be issued after successful completion (2.5 GPA or higher) of 1 year of college course work.