SOUTH GREENE ACADEMIC BOOSTER CLUB
2010 ACADEMIC SCHOLARSHIP
RULES AND APPLICATION FORM
Eligibility:
The Applicant Shall:
1. Possess a 3.2 or higher grade point average on a 4.0 scale.
2. Have a minimum score of 19 on the ACT.
3. Be a graduating senior at South Greene High School planning to pursue a degree or certification.
4. Plan to continue his/her education within 14 months after graduation from South Greene High School.
5. Date and complete application form. Place completed application form in a sealed envelope marked confidential and give to Barbara Cutshaw in the school office no later than April 13, 2010, 3:00 p.m.. There will be no extensions regarding this date and time limitation.
6. Application must attach a current high school transcript and at least two signed letters of recommendation (at least one teacher and one from outside the school – not relatives).
7. You may be asked to submit to a personal interview.
PLEASE PRINT
PERSONAL DATE:
Full Legal Name:_______________________________________________
Address: _____________________________________________________
Telephone: ___________________________________________________
ACT/SAT Score: ____________ Current GPA: __________________
Name of parents/guardian: _______________________________________
Father’s place of employment: ____________________________________
Mother’s place of employment: ___________________________________
Are you a first generation college student? __________________________
Number of dependents in your parent’s family including yourself:
_________________ _____________ _________________________
Children Ages Number Attending College
Please describe any special financial circumstances that you would like the Scholarship Committee to be aware of:
_______________________________________________________________________________________________________________________________________________________________________________________
Please list any other scholarships you have received:
__________________________________________________________________________________________________________________________
To which colleges have you applied? Please circle those to which you have been accepted:
________________________________________________________________________________________________________________________________________________
List any school related activities, awards, honors received, offices held, etc. during high school (please include years):
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List any activities, awards or office outside of school:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List Church, Community, and volunteer Activities:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Work Activities – Are you now employed? Yes No
If yes, what type of work and how many hours per week?
________________________________________________________________________________________________________________________________________________
Describe other work activities (such as farm, helping at home, family business):
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In the space provided below, please describe in your own word and handwriting your plans or dreams for the future, your chosen course of study and why you chose it, and your proposed occupation or profession:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Is there anything else you would like for us to know about yourself, or any other abilities you have that were not previously mentioned in this form?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
SOUTH GREENE ACADEMIC BOOSTER CLUB
2010 TECHNICAL SCHOLARSHIP
RULES AND APPLICATION FORM
Eligibility:
The Applicant Shall:
1. Possess a 3.0 or higher grade point average on a 4.0 scale.
2. Have a minimum score of 19 on the ACT.
3. Be a graduating senior at South Greene High School planning to pursue a degree or certification.
4. Plan to continue his/her education within 14 months after graduation from South Greene High School.
5. Date and complete application form. Place completed application form in a sealed envelope marked confidential and give to Barbara Cutshaw in the school office no later than April 13, 2010, 3:00 p.m.. There will be no extensions regarding this date and time limitation.
6. Application must attach a current high school transcript and at least two signed letters of recommendation (at least one teacher and one from outside the school – not relatives).
7. You may be asked to submit to a personal interview.
PLEASE PRINT
PERSONAL DATE:
Full Legal Name:_______________________________________________
Address: _____________________________________________________
Telephone: ___________________________________________________
ACT/SAT Score: ____________ Current GPA: __________________
Name of parents/guardian: _______________________________________
Father’s place of employment: ____________________________________
Mother’s place of employment: ___________________________________
Are you a first generation college student? __________________________
Number of dependents in your parent’s family including yourself:
_________________ _____________ _________________________
Children Ages Number Attending College
Please describe any special financial circumstances that you would like the Scholarship Committee to be aware of:
_______________________________________________________________________________________________________________________________________________________________________________________
Please list any other scholarships you have received:
__________________________________________________________________________________________________________________________
To which colleges have you applied? Please circle those to which you have been accepted:
________________________________________________________________________________________________________________________________________________
List any school related activities, awards, honors received, offices held, etc. during high school (please include years):
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List any activities, awards or office outside of school:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List Church, Community, and volunteer Activities:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Work Activities – Are you now employed? Yes No
If yes, what type of work and how many hours per week?
________________________________________________________________________________________________________________________________________________
Describe other work activities (such as farm, helping at home, family business):
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In the space provided below, please describe in your own word and handwriting your plans or dreams for the future, your chosen course of study and why you chose it, and your proposed occupation or profession:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Is there anything else you would like for us to know about yourself, or any other abilities you have that were not previously mentioned in this form?
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________