LAKE COUNTRY BOARD OF REALTORS®

2014 SCHOLARSHIP APPLICATION

Date: ______

Applicant Name:CurrentHigh School

______

Parent or Guardian Name:College or TechnicalSchool

Destination

______

______

Home Address:

______Colleges Where You Have Been Accepted to Date

______

Home #: ______

Student Cell #______Email:______

ACADEMIC ACHIEVEMENTS: 25%

1. Current Grade Point Average ______

Cumulative High School Grade Point Average ______

(Transcript or other satisfactory proof of course achievement must be included with Application,

Signed by a school official, and sealed in an envelope or sent directly from school official via email to .)

2. List Classes you are currently taking.

3. In which course has there been the highest degree of improvement and how did you achieve this improvement?

4. What is the most challenging class you have taken in high school and why was this class the most challenging?

5. Number of excused absences this current school year (2013-2014) ______

6. Number of unexcused absences this current school year (2013-2014). ______

Give reasons why these absences were considered unexcused.

PARTICIPATION IN SCHOOL ACTIVITIES: 10%

1. Detail your participation in clubs, sports, band, etc.

2. What has been you most memorable experience in school participation. Please explain why.

CITIZENSHIP: 20%

1. Why is it important for you to show respect towards teachers as well as other students?

2. Have you had any disciplinary actions placed on your school record during the past year? If yes, please explain.

3. Do you have an arrest record with any local, state, or national law enforcement agency? If yes, please explain.

FINANCIAL NEED: 35%

Family Income (check one)

$25,000 or less _____ $25,000 to $50,000 _____ $50,000 to $75,000 ____

$75,000 to $100,000+ _____

1. How would this scholarship help you in attending the school of your choice?

2. How do you plan to handle other expenses that this scholarship will not cover?

COMMUNITY INVOLVEMENT: 10%

1. Give details of your participation and/or leadership in community activities, church, charities, etc.

2. What has been your most rewarding experience in the community? Please explain why.

It is imperative that this application form be properly typed, completed, signed by the applicant and School Counselor and submitted in one envelope to the Lake Country Board of Realtors® Board office at 1041 Village Park Drive, Suite 103, or sent as a PDF document via email to y 4:30 p.m. on MARCH 26, 2014. Any application received after this date or time will not be accepted.

By signing the application you are verifying that all information contained in this application is deemed to be correct. Lake Country Board of Realtors® is authorized to verify information with you as well as school authorities.

______

Student SignatureDate

______

School Counselor SignatureDate

STUDENT AND COUNSELOR CHECKLIST FOR SCHOLARSHIP APPLICATION

_____Have you attached Letters of recommendation from two (2) teachers?

(Letters should be sealed in an envelope or sent directly from the teachers’

email account to )

_____Have you attached Character references from two (2) sources to this application?

(i.e., current employers, past employers, community leaders, church, no relatives

Letters should be signed and sealed in an envelopeor sent directly from the sources’

email account to )

_____Have you attached your high school transcript?

(Transcript must be signed by a school official and sealed in an envelope or sent directly from the school official’s email account to )

_____Have you included the entire typed application, signed by your school counselor and by yourself?

(This can be sent in an envelope or by applicant directly )

***Any and all documents including recommendations, references, transcripts, and individual applications submitted electronically to the LCBOR Scholarship Committee must include the following as the subject line of any and all emails:

“LCBOR SCHOLARSHIP 2014, Applicant Name, High School Name”

All awarded scholarship monies will be sent directly to the College or TechnicalSchool being attended by the student. If you are awarded a scholarship, please notify the Lake Country Board of Realtors® as soon as you have been accepted to the institution and registration is complete. You will need to supply the Lake Country Board of Realtors® the correct mailing address of the college and the person or department to which the check needs to be directed.