Scholarship deadline is April 1, 2018. This scholarship will be awarded on April 28, 2018.

Pickerington Eyecare

THE SCHOLARSHIP: The Pickerington Eyecare scholarship offers a $500 scholarship to a member of the Pickerington High School Central and a member of the Pickerington High School North Senior class. This is a one-year non-renewable scholarship.

SCHOLARSHIP CRITERIA: The Pickerington Eyecare scholarship is designed for any student who will be attending a four year accredited college/university. The scholarship is awarded on the basis of merit, citizenship, and an essay response. To be eligible, the applicant must have attended Pickerington since the first six weeks of his/her senior year, have a GPA of 3.0 or better upon application, complete the application by the stated deadline, submit a faculty recommendation and a sample of his/her best writing based upon a topic provided by the selection committee.

SELECTION OF RECIPIENT: Selection of the student to receive the $500 scholarship will be based primarily on a student’s goal to further his/her education and his/her effectiveness in communicating that desire. A selection committee will determine which applicant will be awarded the scholarship.

HOW TO APPLY: Anyone interested in applying for a scholarship should contact their Guidance Office for an application and submit completed forms to the Guidance Office at the applicant’s school:

Pickerington Eyecare

Attention: Selection Committee

Pickerington High School CentralPickerington High School North

300 Opportunity Way7800 Refugee Road

Pickerington, OH 43147Pickerington, OH 43147

DEADLINES: Applications are to be submitted by April 1, 2018.. The Scholarship winner will be awarded on April 28, 2018.

Pickerington Eyecare

Student Application

Last NameFirstMiddlePreferred Name

Mailing Address, Number and StreetCityStateZip

Telephone: ______Birth Date: ______Graduation Date: ______

Present Rank in Class: ______out of ______in class.

Grade Point Average: ______Indicate Date Taken:

ACT_____ Scores V _____M ____

College/University you will be attending

or considering______major______SAT_____ Scores V _____M ____

Main Areas of Interest:

Extra-Curricular Activities

Check years of involvement and indicate positions of leadership and special recognition

Organizations / 9 / 10 / 11 / 12 / Types of involvement/position or office/special recognition

Non-School Activities

List organization, hobbies, community services, prizes, honors, etc.

List any jobs you have held while attending school:

EmployerAverage hours per weekDates of Employment

CONFIDENTIAL FINANCIAL STATEMENT

1) Student describes all sources of expected income including, but not limited to, all earnings from employment, interest, or dividends.

2) Other Scholarships you have been awarded (include monetary amount).

3) State any special circumstances affecting your financial need which should be considered in review of this application including, but not limited to, divorce or separation, special care or aged dependents, special housing problems, other children in college, social security benefits, trusts, or expected income decrease.

Pickerington Eyecare

Recommendation

Please complete this recommendation for ______

whom is applying for the Pickerington Eyecare Scholarship.

1) Give an honest evaluation of applicant’s performance in your class.

2) Comment on applicant’s ability to communicate, capacity to achieve, and probable chance for success.

3) Comment on any qualities that tend to distinguish applicant from his/her classmates. (An additional sheet maybe required).

Signature Date

Title School

This recommendation should be mailed or returned on or before April 1st to:

Pickerington Eyecare

Attention: Selection Committee

Pickerington High School CentralPickerington High School North

300 Opportunity Way7800 Refugee Road

Pickerington, OH 43147Pickerington, OH 43147

ESSAY REQUIREMENT

It is the intent of the essay portion of the Pickerington Eyecare Academic Scholarship application to give you the opportunity to personalize your application and to allow you to express your thoughts. Please note that this essay will be used as an important document in Scholarship consideration. This essay must be typed on a separate paper.

 Describe your plans to further your education in your chosen field. Discuss ways in which your experience will prepare you to make a significant contribution to society in the future.

APPLICATION CHECKLIST

______Student application including:

______Biographical information

______Confidential Financial Statement

______One Pickerington Eyecare Scholarship Recommendation

______Essay Requirement (from topic selection enclosed)