Shs Common Local Scholarship Application

SHS COMMON LOCAL SCHOLARSHIP APPLICATION

Scholarship Name

DEADLINE for entry is

Name Today’s Date

Social Security # Birth date Telephone

Address (Street, City, Zip)

If working, list employer name & address

Beginning date of enrollment at Sweetwater ISD

Expected graduation date

Awards, honors, scholarships received to date

Organizations/extracurricular activities/offices held

List college you plan to attend

Seeking: Associate’s Degree Bachelor’s Degree

Program of Study

I certify the above information is correct to the best of my knowledge and I authorize the release to the donor and the media any information concerning a scholarship I may receive.

A copy of the letter of acceptance from a college must be included with the application for all scholarships.

Signature ______Date

Write in your own words your educational and life goals, how a scholarship will help you meet those goals, and your reasons for applying for this scholarship. You may have as many Personal References as you choose, although three is suggested.

EDUCATIONAL and LIFE GOALS

Use additional pages as needed

PERSONAL REFERENCE

Applicant’s name______Date: ______

**********************************************************************

The above named student has made application for a scholarship. The scholarship is awarded solely on the basis of the information provided by the student’s application, of which your Personal Reference will be a part. The following form is furnished as a guideline, and you may use additional pages or whatever format you choose.

How long have you known this student, and in what capacity?

______

______

What is your relationship with the student?

______

______

In your judgment, what makes this individual deserving of receiving a scholarship?

______

______

List three (3) areas in which the student excels.

(1) ______

(2) ______

(3) ______

In your judgment, describe the student’s level of commitment to his/her education.

______

______

Signature of individual submitting reference ______

Name of individual submitting reference (print) ______

PERSONAL REFERENCE

Applicant’s name______Date: ______

**********************************************************************

The above named student has made application for a scholarship. The scholarship is awarded solely on the basis of the information provided by the student’s application, of which your Personal Reference will be a part. The following form is furnished as a guideline, and you may use additional pages or whatever format you choose.

How long have you known this student, and in what capacity?

______

______

What is your relationship with the student?

______

______

In your judgment, what makes this individual deserving of receiving a scholarship?

______

______

List three (3) areas in which the student excels.

(1) ______

(2) ______

(3) ______

In your judgment, describe the student’s level of commitment to his/her education.

______

______

Signature of individual submitting reference ______

Name of individual submitting reference (print) ______

PERSONAL REFERENCE

Applicant’s name______Date: ______

**********************************************************************

The above named student has made application for a scholarship. The scholarship is awarded solely on the basis of the information provided by the student’s application, of which your Personal Reference will be a part. The following form is furnished as a guideline, and you may use additional pages or whatever format you choose.

How long have you known this student, and in what capacity?

______

______

What is your relationship with the student?

______

______

In your judgment, what makes this individual deserving of receiving a scholarship?

______

______

List three (3) areas in which the student excels.

(1) ______

(2) ______

(3) ______

In your judgment, describe the student’s level of commitment to his/her education.

______

______

Signature of individual submitting reference ______

Name of individual submitting reference (print) ______