Name:______DUE MARCH 27, 2015

Patapsco High School and Center for the Arts

Local Scholarship Application

2015

This application and all attachments must be returned to the Counseling Office no later that 2:15 on MARCH 27, 2015 to be considered for a local scholarship.

Name ______

Home Address ______Phone

If you are in a magnet, which one ______

Your application will be evaluated for academics (GPA, class rank, and grades), involvement (school and community), essay, neatness and completed application.

Please fill in all information on this application and attach the following:

·  Required Essay: Please submit a copy of a typed essay that you have submitted for admittance to college. If your college did not require an essay, please type a one page essay about what your plans are for next year.

·  Attach a resume or an activity list.

Elementary School Attended ______K 1 2 3 4 5

(circle grades attended)

Middle School Attended ______6 7 8

(circle grades attended)

Recreation Council(s)

Intended major in college? Will you live on campus Y__ N__

Please list all the colleges you have applied to and your current status with each: (Circle the name of the college you will be attending if you know.)

College Name / Accepted Denied Wait Listed Still Waiting
A D WL W
A D WL W
A D WL W
A D WL W

Parents’ Information

(Your application will be evaluated for academics, involvement, essay, neatness and completed.)

1

Name:______DUE MARCH 27, 2015

Father’s Name

Occupation

Employer

No of years in current position______

Mother’s Name

Occupation

Employer

No of years in current position_____

(Your application will be evaluated for academics, involvement, essay, neatness and completed.)

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Name:______DUE MARCH 27, 2015

Do your parents belong to any organizations such as clubs, unions, churches, etc?

Is your Father a member of American Legion Post #38? Yes No

Is a relative a member? Name Relation

Member of a Boosters Organization?______(List Organization)

Are you or a member of your family a member of the PTSA? Yes___ No___

Do you live with (circle one) one / both / neither of your parents? If you answered neither, with whom do you live?

Student’s Interest Questions

(This does not have to be typed. Please write neatly)

Academic Interest Questions

1.  What courses have you enjoyed the most in high school? Why? ______

2.  What courses have given you the most difficulty? Why? ______

Extracurricular Interests

1.  What activity or organization in school has meant the most to you? Why? ______

2.  How do you spend your time outside of school? ______

Personal Responses

  1. Is your high school academic record an accurate measure of your ability and potential? If no, what do you consider the best measure of your potential for success in college work? ______
  1. What circumstances, if any, have interfered with your academic performance? ______

3.  What do you consider your greatest strengths? ______

4.  What do you consider your greatest weaknesses? ______

5.  Is there anything else you would like to share in order to help us make an accurate appraisal of your application? ______

Class of 2015 Involvement

1.  How have you been involved with the Class of 2015 Steering Committee?

______

2.  What will your legacy be to Patapsco High School? Explain.

______

(Your application will be evaluated for academics, involvement, essay, neatness and completed.)

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