The Totino-Grace Scholars Program

The student should complete this application. It will be assessed as part of the selection process.

Student’s Name ______

Last First Middle

Name of the junior high or middle school you attended ______

Please answer the following questions accurately and thoroughly.

1. What have you done, specifically, to demonstrate that you are a “scholar,” someone who pursues knowledge beyond the basic requirements of classes or programs of which you have been a part?

2. What challenges do you anticipate as a participant in the Scholars Program (personally, academically)?

3. Describe your reading habits. How often do you read? What do you read? List the most recent titles you have read outside of required readings for school.

4. Describe your interest in current events. How do you stay informed on current events?

5. In what ways do you feel prepared to succeed in honors-level course work?

6. How have you used your intellectual gifts for the good of others? Please use specific examples.

7. Other than your normal school work, what topics interest you and how do you pursue your interests? (Do you take outside classes or lessons? Summer programs? Independent study of some kind? Belong to organizations that foster your interests?)

Please indicate below what honors course(s) you are enrolled in this year.

____ Honors English ____ Honors Geometry ____ Honors Physics ____ Other

Please indicate whether or not you are enrolled in a World Language class this year.

_____ Yes, I am enrolled in ______.

_____ No. I am not enrolled in a World Language course this year.

During my sophomore year, I intend to pursue honors level classes and the study of a World Language in the following subjects (you must be accepted into and enroll in at least 2 honors courses during your 10th grade year as a Scholar participant):

_____ Honors English _____ Honors Math______

_____ Honors Chemistry _____ AP World History

_____ H Spanish 3 or H French 3

Please indicate below the cocurricular activities to which you belong this year (activities taking place outside of T-G may be included).

Describe your level of commitment to volunteer/service work during the past year (last 12 months).

_____ I am engaged in service work on a regular basis (weekly, monthly).

List activities and how often you participate:

_____ I have occasionally participated in service work this year.

List activities and how often you participate:

_____ I have participated in service work once or twice this year.

List activities and how often you participate:

_____ I have not been involved in service work during the past year because (please answer):

All of the information I have included is true and complete to the best of my knowledge.

______

Student Signature Date

______

Parent (Guardian) Signature Date

Application Deadline: December 19, 2016 to Mrs. Broadhead in the Academic Office, or via email.