ALISO NIGUEL HIGH PTSA

2010COLLEGE SCHOLARSHIP APPLICATION

Please type or print in black ink. Be as complete as possible. If necessary, attach a second sheet.

GUIDELINES FOR PTSA ACADEMIC SCHOLARSHIP APPLICATIONS

Applicant must be a graduating senior at AlisoNiguelHigh School and a member of the PTSA. If not a current member, submit $6.00 with the application.

Minimum G.P.A. of 3.25, SAT score of 1500 or 22 ACT score are required.

Return application to the guidance office by Wednesday, March 10, 2010.

PART 1 - GENERAL

NAME______AGE______

ADDRESS______CITY______ZIP______

PHONE______

SEVEN SEMESTER G.P.A.______

(Cumulative and exclude P.E.)

SAT SCORE______ACT SCORE (COMP)______

PART 2 - FAMILY INFORMATION

FATHER’S NAME______

MOTHER’S NAME______

YOU LIVE WITH______FATHER_____MOTHER_____BOTH

NUMBER OF ADDITIONAL CHILDREN LIVING AT HOME______

BROTHERS/SISTERS IN COLLEGE:

NameAgeCollege

______

______Please explain any unusual family situations or circumstances which make the financial aid necessary.

______

PART 3 - WHAT ARE YOUR PLANS FOLLOWING HIGH SCHOOL GRADUATION?

4-YEAR COLLEGE OR UNIVERSITY (list in order of preference)

1)______accepted?_____MAJOR______

2)______accepted?_____MAJOR______

3)______accepted?_____MAJOR______

2-YEAR COMMUNITY COLLEGE

COLLEGE NAME______MAJOR______

OBJECTIVE: (circle one) AA Degree General Education

CAREER OBJECTIVES: WHAT DO YOU PLAN TO DO AFTER COMPLETING ABOVE?

______

PART 4 - ACTIVITIES RECORD

Complete the Record of Extra Curricular Activities form attached,(Attachment A,) including only the activities in which you participated during high school. Please also include only volunteer community/school activities, not activities for which you were paid. If necessary, you may attach additional copies of the form. In addition to Attachment A, you may attach your resume, although it is not required.

PART 5 - ESSAY

Write and attach an essay describing what makes you unique as a person. This should be a short essay on your ideas, interests, and/or school plans. Limit to 1 – 2 pages.

PART 6 - LETTER OF RECOMMENDATION

Please attach one letter of recommendation which will help the Scholarship Committee learn more about you. This letter may not be written by a relative.

PART 7 - TRANSCRIPTS

Please attach a copy of your transcripts which include your grades through the seventh semester. Also attach a copy of your permanent record card for SAT and/or ACT test scores.

PART 8 - EMPLOYMENT RECORD

EMPLOYER______

ADDRESS______

DUTIES______DATES______

EMPLOYER______

ADDRESS______

DUTIES______DATES______

EMPLOYER______

ADDRESS______

DUTIES______DATES______

I verify that the information in this application is true and correct.

______

STUDENT SIGNATURE PARENT/GUARDIAN SIGNATURE

ATTACHMENT A

RECORD OF EXTRA-CURRICULAR ACTIVITIES

(duplicate as needed)

Activity Name:
Grade(s)/Year(s) Participated:
Position or Office Held:
Hours per Week:
Weeks per Year:
Awards:
Name, Address & Phone Number of Person or Organization who can verify:
Describe Activity:
Activity Name:
Grade(s)/Year(s) Participated:
Position or Office Held:
Hours per Week:
Weeks per Year:
Awards:
Name, Address & Phone Number of Person or Organization who can verify:
Describe Activity:
Activity Name:
Grade(s)/Year(s) Participated:
Position or Office Held:
Hours per Week:
Weeks per Year:
Awards:
Name, Address & Phone Number of Person or Organization who can verify:
Describe Activity: