NEEDHAM LOCAL SCHOLARSHIPS - (Please use black ink, not pencil)

Name of applicant______GPA______

(Last) (First)

Street ______Town ______State _____ Zip Code ______

Telephone No. ______

NEEDHAM HIGH SCHOOL

APPLICATION FOR LOCAL SCHOLARSHIPS - This application must be returned to the Guidance Department, Room 503 no later than FRIDAY, MARCH 19, 2010 at 3PM.

NO LATE APPLICATIONS WILL BE ACCEPTED

In applying for local scholarships, it is important to remember that these exist primarily to aid those who need financial help to further their education. Please read the descriptions carefully, and only list those for which you feel you might be eligible. If you are applying for a scholarship that requires an essay, please put only the name of the scholarship at the top of that essay, do not put your name on the essay. Please staple your essay(s) to the back of your application.

List scholarships for which you are applying:

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1. Parents' occupation(s): Father _____ Mother ______

2. Career plans: College major

3. Name of institution where you have been accepted and will attend.*

*If you are not certain at this time, you must submit the name of the college as soon as you are sure. Failure to do so will jeopardize your chances of receiving a scholarship.

Please use this section for Items 4-8. No attachments will be accepted.

4. List school activities, grades (9-12) in which you participated, and any offices held.

Activity Grade(s) Office Held

5. List community activities

6. List any honors or recognition bestowed upon you during your four high school years (either school or

community)

7. Interests and hobbies

8. Work experience

Applicant (FIRST NAME ONLY)______

Please return complete application to the Guidance Department no later than FRIDAY, _MARCH 19, 2010

at 3PM.

Local scholarships are awarded each year to deserving students to help them further their education. Those students who are applying for scholarships that list financial need as a criterion must submit this form. ALL IN-FORMATION WILL BE READ ONLY BY THE NEEDHAM HIGH SCHOOL SCHOLARSHIP COMMIT-TEE AND WILL BE STRICTLY CONFIDENTIAL.

A. Please list all dependent on family for support: (no names, please)

Relationship (sister, brother, etc.), Age, School, Home, or Work

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B. Have you submitted a 2009-2010 FAFSA - Free Application for Federal Student Aid and/or the CSS Profile Form from the College Scholarship Service?

______Yes ______No

C. Please explain any extenuating financial circumstances:

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