The McCarron-Mishalow Memorial

Scholarship

Application

Student may apply either digitally or hardcopy.

To submit digitally, complete the Google Form application by clicking this link:

Student and parent must digitally sign the application. Incomplete applications will not be considered.

To submit by hardcopy, print the application below and complete. The application must be completed by the student and signed by the parent(s). All parts of the application must be completed and submitted at the same time.

Incomplete applications will not be considered.

The completed application should be mailed to:

Harry J. Bahr

525 Virginia Ave.

Webster Groves, MO 63119

The completed application must be received no later than March 25, 2018. The applications will be given to individuals from outside of Holy Redeemer to read and grade. In the event of tied wining scores, personal interviews may be required. Winners will be announced by the end of May, 2018.

2018 McCarron-Mishalow Memorial Scholarship Application

Please type or clearly print all information. The information provided will be kept confidential and will be used only by the selection committee to make their choices.

Name: ______

Address: ______

Phone Number: ______Email: ______

Current School: ______Grade: ______Age: ______

Parents’ Name: ______

1. School Activities and Organizations

List any school activities and/or organizations in which you have participated and any leadership roles you have taken. Also list any awards you have received. Use additional sheets or a separate sheet if needed.

______

______

2. Community Service

List all volunteer, youth, civic, religious or other activities in which you have participated:

Group/ActivityResponsibilitiesYears

______

3. Special Considerations

Please identify any special circumstances that you believe the selection committee should know of in order to give your application particular attention.

______

4. Essay Questions

On a separate page provide a one paragraph answer to each of the following:

4a. Please identify how this scholarship will be used. Include the name of the school, program or organization, date, and the total cost as well as other sources of funds that will be used.

4b. Name one person who has influenced your life and tell why.

4c. “Pay It Forward” is a concept frequently heard today. What does it mean to you and how might you pay it forward?

4d. How can teenagers be leaders in Holy Redeemer Parish?

5. Report Card

Attach a copy of your most recent report card to the application.

6. Agreement

To the best of our knowledge the information in this application is correct. We fully understand that any misrepresentation of information in the application may revoke any rights to the award. If for any reason the scholarship is not used to attend the school/program for which this scholarship is provided, I will forfeit the award.

______

Signature of Applicant Date

______

Signature of ParentDate