WHITCOMB JR.-SR. HIGH SCHOOL
Senior Application Form – Local Scholarships and Awards
All Graduating Seniors should complete this form because there are awards for non-college bound students, college-bound students, and those students deferring college/taking a gap year.
This application must be word processed and submitted electronically through Google Sharing Documents or email to the Senior Scholarship Awards Coordinator, Mrs. LaMothe by May 11th.
Name:
Address:
Phone: (802) -
To the Student:
Ø Upon submission of this application, you will be eligible for consideration for Whitcomb High School awards/scholarships. Faculty and community members will have access to your application, so take the time to do a good job!
Ø Spell check is NOT included in this form – please review & edit!!
Ø It is expected that each senior will write a thank you note to the donor organization immediately after graduation.
Ø Please note - to receive your scholarship, you must notify the donor organization of the name of the college you are attending, usually at the start of your second college semester.
Ø Please print page 1 of this application, obtain your parent(s)/guardian(s) signature, and submit it to Mrs. LaMothe by the deadline.
To the Parent(s)/Guardian(s):
The information your student provides below may be distributed to outside selection committees (e.g., Clifford, Poulos Insurance, WRCU, etc.). The financial information will be treated confidentially by Mrs. LaMothe. Please sign below indicating that you understand this and that you understand that your child is applying for local scholarships and awards by completing this application.
Parent(s)/Guardian(s):______Date:______
Name:_______
Answer the questions as completely as possible.
· If you plan to go to work as your post graduation plan, please complete the application starting with SECTION B.
· If you plan to go to college after high school, perhaps after a gap year, please complete the entire application starting with SECTION A and including SECTION B. If you plan to work for the summer and go to college in the fall, complete both sections.
1. Please list the colleges to which you have applied:
2. Please list the colleges at which you have been accepted (indicate waitlisted as necessary):
3. College that you plan to attend:
4. Total costs of the College that you will be attending:
Tuition $
Room & Board $
TOTAL $
5. DESCRIBE your plans for after High School. If you plan to attend college, what program(s) of study are you considering [major(s), minor(s)]? If you are planning to work, deferring entrance to college for a year, or taking a gap year, what type of work or plans are you considering for after high school graduation?
6. HOW / WHY have you made these decisions about your future?
7. Please list your principal extracurricular, community, and family activities and hobbies in the order of their interest to you. Include specific events and/or major accomplishments such as musical instrument played, awards or certificates earned, etc. Check (ü) in the right column those activities you hope to pursue in college. To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach/submit a resume.
Grade Level or Approximate Positions Held Plan to
Post-Secondary (PS) Time Spent Honors Won Pursue
Letters Earned College (ü)
Activity/Community Service / 9 / 10 / 11 / 12 / PS / hrs./wk9. Please list any academic awards or honors:
10. From which High School experiences have you gained the most satisfaction in each of the following areas?
A) Academics: What have been your favorite course areas? Why? Talk about academic strength and interest areas.
B) Extracurricular Activities: What experiences in extracurriculars have really been great for you? How have they shaped you as a person?
C) Social: What social experiences are strong memories for you? How have overcoming barriers made you stronger as a person?
11. Please list any part-time jobs you have held and approximate dates of employment (list most recent or current job first):
Employment Company Position Start Date End
(mm/dd/yyyy) Date/Present
12. What other information should the Scholarship Committee take into account when considering your application for senior awards/scholarships? What sets you apart from the other graduates? Please include any unusual circumstances the committee should be aware of and give as much factual and specific information as possible.
Additional Awards
The Whitcomb High School faculty selects the winner(s) of many awards conferred at graduation. However, several other organizations offering senior awards elect to evaluate graduates themselves, using their own applications. If you are interested in the following awards, please take the time to read and respond below.
The White River Credit Union ScholarshipØ Students must be college bound and have an account at the White River Credit Union (WRCU) in order to be considered for this award.
Ø Please check this space if you have an account at the WRCU and are interested in being considered for this award. Students are permitted to open a new account at the Credit Union in order to become eligible for this award.
East Branch Education Association Scholarship
Ø The Association will award a $300.00 scholarship to a graduating senior who intends to pursue a degree in the teaching profession. Each applicant is required to submit a short essay discussing his/her educational intentions and why they wish to become a teacher.
Ø Print and submit with other Local Scholarship Application materials to Mrs. LaMothe.
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