St. Vincent de Paul Parish
Scholarship Application - 2017
DUE: by 5 pm on Monday, May 22, 2017
The Attached Scholarship Application must be completed and returned to the Saint Vincent de Paul office or electronically via email to o later than May 22, 2017by5pm to be considered for an award.
Please provide a copy of your current high school transcript along with this application. A photo may also be provided at your option. If you have any national test scores (e.g. SAT) or class grades or rankings that are not yet included on your transcript, they may be included in the space provided on the application and verified by the appropriate school administrator/counselor.
If you have any additional information or explanations you wish to provide or if more space is required for any of your responses, you may attach additional pages with references to the applicable application section.
The SVDP Scholarship Committee and/or SVDP staff will treat the application information with care and sensitivity. It is suggested that you return the Scholarship Application to the SVDP office in a sealed envelope to the attention of the SVDP Scholarship Committee. Additional information may be requested by the committee to verify the information.
The SVDP Scholarship(s) will be awarded based on all aspects of the application, including: academic, school activities, community service/activities and financial need as well as responses to the application questions. The scholarship(s) that have been announced for the current year will be awarded to the successful applicant(s) after the applicant has been accepted at a college or post high school institution and when the applicant presents bills or receipts from the college or institution.
(1) Applicant
Name:______
(Last)(First)(MI)
Address: ______
City: ______State: ______Zip: ______
Tel.: ______Date of Birth: ______Gender: ______
(2) Personal/Family
Father’s Name: ______Occupation: ______
Address: ______
City: ______State: ______Zip: ______
Mother’s Name: ______Occupation: ______
Address: ______
City: ______State: ______Zip: ______
Other children living in your home, and ages: ______
Other children attending college: ______
When did your family become members at SVDP: ______
Do you attend SVDP regularly: ______
Estimate of parent’s total income (combine father’s adjusted gross income, mother’s adjusted gross income and any additional income): ______
(3) High School Information
High School:______Expected Graduation:______
College or Institution you plan to attend and field of study:
1st choice:______Field: ______Accepted: ____
2nd choice:______Field: ______Accepted: ____
Most recent high school scores/ranks:
SAT Score: ______and/orACT Score: ______
Semester: ______GPA: ______Rank: ______out of ______
Verified by school official:
Name: ______Position: ______
Signature: ______Date: ______
I certify that the information provided is accurate and complete:
Signature: ______Date: ______
(4) Additional School Information
Other High Schools Attended and years: ______
List of significant high school academic, UIL, honors, or awards:
______
______
______
______
List of significant high school activities, organizations, or offices:
______
______
______
______
(5) Community Activities:
List of significant community service activities – indicating service organization and length of time:
______
______
______
______
List any other activities outside of school (church, scouts, clubs):
______
______
______
______
List any work experience:
EmployerType of Workhrs/wkdates
______
______
______
2 of 3
Describe any other activities, conditions, or financial circumstances which you think may be pertinent:
______
(6) Essay
In 150-200 words, please state why you feel you should be considered for this scholarship, and tie it into the importance your faith has played on your life thus far and the importance your faith community of St. Vincent de Paul is to you:
(you may type/print your response and tape a copy in the space provided below)
______
List 2 individuals that you feel would be good references for you. The committee may wish to contact these individuals.
#1 Name: Phone/Email:
#2 Name: Phone/Email:
3 of 3