Southern Erie County Counselor S Association

SOUTHERN ERIE COUNTY COUNSELOR’S ASSOCIATION

SCHOLARSHIP APPLICATION

NAME ____________________________

ADDRESS _____________________________________________

DATE OF BIRTH __________________________TELEPHONE ________________________

FATHER’S OCCUPATION ___________________EMPLOYER _________________________

MOTHER’S OCCUPATION ___________________EMPLOYER ________________________

LIST NAMES AND AGES OF BROTHERS AND SISTERS _____________________________

LIST PERSONS CURRENTLY LIVING IN YOUR HOME (Include brothers/sisters currently attending college) _____________________________________________________________

____________________________________________________________________________

LIST ANY WORK EXPERIENCE YOU HAVE HAD ___________________________________

LIST SCHOOL ACTIVITIES IN WHICH YOU HAVE PARTICIPATED _____________________

LIST SPORTS IN WHICH YOU HAVE PARTICIPATED ________________________________

LIST THE COLLEGES TO WHICH YOU HAVE APPLIED (Include if have been accepted)

WHAT COLLEGE DO YOU PLAN TO ATTEND? _____________________________________

WHAT COURSE OF STUDY DO YOU PLAN TO PURSUE? ____________________________

WHAT ARE YOUR CAREER PLANS? _____________________________________________

IN THE SPACE BELOW, ADD ANY INFORMATION WHICH YOU FEEL WOULD BE HELPFUL IN ANY COMMITTEE WHICH WILL BE REVIEWING THIS APPLICATION FOR SCHOLARSHIP. BE SURE TO INCLUDE INFORMATION REGARDING YOUR INTERSTS, AMBITIONS, AND FINANCIAL NEEDS. LIMIT YOUR RESPONSE TO THIS SHEET ONLY.

DUE TO THE COUNSELING CENTER MARCH 15 TH