TWIN RIVER ALUMNI SCHOLARSHIP APPLICATION

Applicant’s Name:

Applicant’s Complete Address:

Applicant’s Phone Number (include area code):

College, University, or other Post-Secondary Institution which applicant plans to attend:

Has applicant been accepted as a student at such institution?

If Yes, please attach a copy of acceptance from institution.

If No, estimated date by which applicant expects to receive notification:

Applicant’s GPA: ______Applicant’s ACT Score: ______

Applicant’s Class Ranking and Class’ Number: ______/______

Reason(s) which applicant believes qualify him/her for the Twin River Alumni Scholarship:

(If additional space needed on this or on any of the following questions, you may attach an additional sheet)

Write a statement on each of the following inquiries:

The field of education you are planning on obtaining a degree in:

What college/high school courses have you taken to better prepare you for your intended future degree?

What qualities do you possess that makes you believe you will be successful in this field?

Academic Achievements:

School Related or Extra-Curricular Activities and your responsibilities/involvement in them:

Community Activities:

Work History during your High School Career:

Describe how this scholarship will assist you:

Describe the impact Twin River has made upon you:

What do you know about the Alumni Association and how do you plan to participate?

FINANCIAL AID

HOW MUCH WILL IT COST YOU PER YEAR TO ATTEND SCHOOL? A) ______

HOW MUCH OF THIS COST WILL YOU CONTRIBUTE? B) ______

HOW MUCH OF THIS COST WILL YOUR PARENTS CONTRIBUTE? C) ______

HOW MUCH FINANCIAL AID HAVE YOU RECEIVED THUS FAR? D) ______

Please attach two letters of recommendation with the application.

The undersigned further agrees that in the event that a scholarship is awarded to him/her, that he/she will:

A. Agree to, and abide by, all of the terms and conditions attached to said scholarship, and

B. Execute any and all documents necessary to assure compliance therewith.

The undersigned further authorizes the Foundation to review his/her scholastic records and authorizes them to release all school records requested by the Foundation to the Foundation.

All statements made herein by the applicant, are to the best of the applicant’s knowledge and believe, factually true and correct.

Dated this ______day of ______, 20__

Applicant’s Signature

Authorization of parent to release information to Foundation.

By: ______

Parent or Guardian Signature