VACAVILLE HIGH SCHOOL

LOCAL SCHOLARSHIP PACKET

NAME______DATE ______

The attached forms can be used to apply for the scholarships listed below. The specific qualifications of each scholarship are listed in the scholarship brochure. Please check the brochure before applying to make sure 1) you qualify and 2) that you include the correct paperwork. You may be disqualified if you fail to follow these directions. Application instructions are on the next page.

DUE DATE : Wednesday, March 28, 2007, 12:30 p.m. to Career Center.

* BOB SAUERWEIN
MEMORIAL / * GEORGE C. LINN, JR
MEMORIAL / #+ THE 3rd ANNUAL
VHS PTC SCHOLARSHIP
C.S.F. / * I.O.O.F. / THE MARY MAERTZ “PEACE , LOVE, AND LEARNING” SCHOLARSHIP
CAPITAL PROGRM
MANAGEMENT / * IRENE LUNA
MEMORIAL / * VACAVILLE ASSOCIATION OF
CLASSIFED EMPLOYEES
+ CHARLES W. ‘CHUCK’ FOREHAND MEMORIAL SCHOLARSHIP / JAMES CAUGHY
MEMORIAL / * VACAVILLE COMMUNITY FOUNDATION
# CITY OF VACAVILLE
EMPLOYEES’ / MEXICAN OPEN GOLF TOURNAMENT SCHOLARSHIP AWARD / * VHS ALUMNI ASSOCIATION
CLASS OF 2006
LEADERSHIP / + REALTORS AND BUSINESS PARTNERS
“GIVING BACK” SCHOLARSHIP / VHS SCHOLARSHIPS
* CURT WOODARD MEMORIAL / SCIENCE CLUB / * VHS STUDENT COUNCIL
DAVID ROSE MEMORIAL
SCHOLARHIP / SYDNEE SELF MEMORIAL / * VACA SUNRISE ROTARY
FAZZARI LANDSCAPE CONSTRUCTION SCHOLARSHIP / * SYLVIA GONZALES
MEMORIAL / + VACA TEACHERS’
ASSOCIATION
* FIRST NORTHERN BANK / THE 2nd ANNUAL ORCHARD PTC SCHOLARSHIP / +# VACAVILLE YOUTH
ROUND TABLE
+*# WILLIAM K.
LINDEMAN MEM ORIAL
SCHOLAR MUSIC

* Recommend that “Parent’s Confidential Statement” accompany application.

+Essay required.

#Recommendation letter(s) required

NOTE: Additional local scholarships requiring separate applications are available in the Career Center at various times of the year. An updated list is available each Friday in the Career Center, or online at

DEADLINE: Wednesday, MARCH 28TH 12:30 P.M., CAREER CENTER

INSTRUCTIONS

FOR COMPLETING THE VHS SCHOLARSHIP PACKET

To be considered for a scholarship you must complete the following steps prior to the Wednesday,

March 28th, 12:30 p.m. deadline.

  1. On the previous page, place an “X” in the box next to the scholarships for which you are applying. Please check the description in the scholarship brochure to determine your eligibility for each scholarship. You may be disqualified if you fail to follow these directions.
  1. Type, or use black ink to complete the application form. Leave the scholarship name blank until you have made a copy for each scholarship to which you want to apply.
  1. Complete the Applicant’s Statement.
  1. If you are applying for scholarships that require a demonstration of financial need, have your parents complete the Parent’s Confidential Statement.
  1. If you are applying for a scholarship that requires a letter of recommendation, please follow specific instructions included in the scholarship description. Recommendation letters must be sealed with the writer’s signature across the seal to indicate confidentiality. Be sure to request letters well in advance of the deadline to give the writer an opportunity to write a thoughtful letter.
  1. Use the transcript that was mailed home in your senior letter, or request a copy of your transcript from the school registrar (Mrs. Shoemaker). Photocopy your transcript and include one copy with each application.
  1. Photocopy or print out your Application Form, Applicant’s Statement, transcript, and include a Parent’s Confidential Statement and letters of recommendation (if applicable) for each scholarship you have checked on the front page. For example, if you checked 5 scholarships, you must submit 5 complete application packets.
  1. At the top of each application form, include the name of the scholarship for which you are applying. Staple all parts of your application packet together and secure them with a paperclip as well. Please do not seal applications in large envelopes.
  1. Submit your original application with your cover sheet included and copies of all supporting documents to the Career Center no later than Wednesday, March 28th at 12:30 p.m.

VACAVILLE HIGH SCHOOL______

SCHOLARSHIP APPLICATIONNAME OF SCHOLARSHIP

  1. Name______

FirstMiddleLast

Address______

Phone______Birthdate______

Name of Parent/Guardian(s)______

Father’s Occupation______Father’s Employer______

Mother’s Occupation______Mother’s Employer______

Names of family members living in your household______

______

Names and ages of brothers/sisters attending college(list name of college)______

______

  1. What college/vocational school do you plan to attend?______

Why have you chosen this college/vocational school?______

Which additional college/ schools have you applied to?______

What will be your college major?______

Why have you chosen the above as a major?______

______

Please identify any scholarship award you have for the coming year and value______

Have you applied for state and/or federal scholarships and grants? _____yes _____no

If not, why?______

Do you intend to work the summer after graduation? _____yes _____no; while attending college? _____yes _____no; summers while attending college? _____yes _____no

If you answered “No” to the previous questions, please explain______

DEADLINE: Wednesday, March 28th 12:30 p.m., CAREER CENTER

Please type or print.

APPLICANT’S STATEMENT

Write a short autobiography. Include a discussion regarding your educational plans, career goals, and how you expect your further education to help you serve the community in which you may live. Information highlighting your personal interests and activities, special skills, and additional personal characteristics may be included.

STUDENT ACTIVITIES/ATHLETICS

List student activities in which you have participated during grades 9-12 and “x” the appropriate grade level(s). List leadership positions held and accomplishments and “x” the appropriate grade level(s). Limit your response to the space provided—one entry per line.

Student Activities/Athletics / 9 / 10 / 11 / 12 / Leadership Position/Accomplishment(s) / 9 / 10 / 11 / 12

SPECIAL RECOGNITION, AWARDS, & HONORS

List special recognition, awards, & honors received during grades 9-2 and “x” the appropriate grade level(s). List commendations not previously listed. Limit your response to the space provided—one entry per line.

Commendation / 9 / 10 / 11 / 12 / Group or Activity

COMMUNITY INVOLVEMENT

List community activities during grades 9-12 and “x” the appropriate grade level(s). Also indicate the hours per week. Limit your response to the space provided—one entry per line.

Community Activities Grade Level of Involvement Hours Per Week

9 / 10 / 11 / 12 / 1-5 / 6-10 / 11-15+

EMPLOYMENT HISTORY

List past and present types of employment, employers, and date of employment. Indicate the appropriate number of hours worked per week.

Job Title Employer Dates of Employment Hours Per Week

From Mo/Yr To Mo/Yr 1-10 11-20 21+

  1. ARE THERE ANY SPECIAL CIRCUMSTANCES TO BE CONSIDERED? (Health of applicant and/or family members, major change in family picture, retirement, care of elderly, etc.)

ADDITIONAL COMMENTS YOU WOULD LIKE TO MAKE______

I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS CORRECT.

Student Signature______Date______

Parent Signature______Date______

PARENT’S CONFIDENTIAL STATEMENT

(Pease Type or Print)

Student Applicant’s Name______

LastFirstMiddle

Applicant normally lives with: ( ) Father ( ) Mother ( ) Stepfather ( ) Stepmother

( ) Maintains own residence( ) Other (Explain on reverse)

Check if any apply: ( ) Father is deceased ( ) Mother is deceased ( ) Father or Mother unable to work ( ) Parents are separated or divorced

Give information on all of the following that applies to your situation. If living in a “blended family”, then answer sections for both parents and stepparents or for legal guardian.

Father’sStepfather’sLegal Guardian/Other

  1. Name______
  2. Address______
  3. Occupation______
  4. Employed by______
  5. Number of Years______
  6. Yearly Income______

Mother’sStepmother’s

  1. Name______
  2. Address______
  3. Occupation______
  4. Employed by______
  5. Number of Years______
  6. Yearly Income______

Total Family Income: Father, Stepfather, Mother, Stepmother and Guardian/Other______

Number of dependents claimed on income tax return last year______

Number of children in family attending:

_____College_____Elementary School

_____High School_____or at home

Family financial assistance given to student(s) already in college: ______

Expenses at selected college:Expected contributions to meet expenses from:

Tuition and fees______Parent’s income & assets______

Room and board______Student’s assets______

Books, instruments, and supplies______Student’s earnings______

Travel to and from college______Veteran’s benefits______

Clothes, recreation, and miscellaneous______Social Security benefits______

Total Expenses ______Other sources______

Total contributions ______

Total expenses minus total contributions (amount necessary to balance budget)______

We declare that the information on this form, to the best of our knowledge, is accurate.

______

Signature of Legal GuardianStudent Signature

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