Boone County-West Virginia University Alumni and Friends

Scholarship Application for West Virginia University or its Affiliated Institutions

This application assists us in providing Boone County high school seniors financial assistance to attend West Virginia University or one of its affiliated institutions. The award is based on factors listed on the application.

APPLICATION INFORMATION FOR HIGH SCHOOL SENIORS: In order to apply the applicant must complete the attached “Scholarship Application”, provide a transcript of grades for grades 9-12 and a copy of the “Student Aid Report” which is issued to the student after the Free Application for Federal Student Aid (FAFSA) is completed.

Mail the completed application to: Boone County Chapter, WVU Alumni Association, P.O. Box 38, Madison, WV 25130 no later than March 1 (the copy of the “Student Aid Report” and transcript should be provided as soon as available). Applications may also be hand delivered to the law office of Shaffer and Shaffer in Madison.

Boone County-West Virginia University Alumni and Friends

Scholarship Application

For

___West Virginia University ___West Virginia University Institute of Technology

Morgantown, WV Montgomery, WV

___Potomac State College of West Virginia University

Keyser, WV


Name:______

First Middle Last

Home Address: ______

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Phone Numbers: ______(Home)______(Cell)

Email Address:______

Parent(s) or Guardian(s) names:______

Do you have any brothers/sisters currently attending college? ___yes ___no If so, specify number in college______

High School Attended: ______

Date of Graduation: ______Grade Point Average:______

Rank in Class: ______Major Course of Study: ______

Career Goal: ______

What will be/is your major? ______

Will you be attending full time? ___yes ___no

Do you qualify for the Promise Scholarship? ___yes ___no

Have you received any other financial aid for the coming year? ___yes ___no

If so, please list the name and amount of these grants/scholarships: ______

______

______

______

List of Extra-Curricular Activities: (please include awards and community service while in high school/college)

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Briefly, state your reasons for seeking the Boone County WVU Alumni and Friends Scholarship including any information or special circumstances to support your application (attach additional pages if necessary): ______
______

______

______

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HIGH SCHOOL SENIORS ONLY: If you have attended college or received college credit while in high school, please list total credit hours and grade point average. ______

By signing below you certify that the information contained in this application is true and factual to the best of your knowledge.

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Signature of student (or parent if under 18) Date