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GSSJ

The document is a scholarship application for Merced Union High School District. It consists of 4 pages that provide instructions and criteria for applicants. To apply, students must submit a completed application form, two letters of recommendation, an activity sheet, scholarship survey, personal essay on educational/career plans, and high school transcript. The application must be typed or written in black ink and submitted in the specified order, along with a signature page, by the February 20th deadline. Neatness and completeness are important. The survey page allows students to highlight relevant activities, community service hours, ethnicity, gender, leadership roles, and intended career or major.

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65 views

GSSJ

The document is a scholarship application for Merced Union High School District. It consists of 4 pages that provide instructions and criteria for applicants. To apply, students must submit a completed application form, two letters of recommendation, an activity sheet, scholarship survey, personal essay on educational/career plans, and high school transcript. The application must be typed or written in black ink and submitted in the specified order, along with a signature page, by the February 20th deadline. Neatness and completeness are important. The survey page allows students to highlight relevant activities, community service hours, ethnicity, gender, leadership roles, and intended career or major.

Uploaded by

api-280774610
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

Merced Union High School District

Page 1 of 4

Generic Scholarship
Application

The Generic Application


Local education or vocation scholarships are for the purpose of assisting worthy and needy students of
outstanding ability and sincerity of purpose.
Instructions & Criteria to Applicant
1. Your application for scholarship must include:
a) Application form completely filled out.
b) Two Letters of recommendation from school personnel, and/or community member.
c) Activity sheet completed.
d) Generic Scholarship Survey completed.
e) Personal essay should include: Educational and career plans. Use this as an opportunity to tell scholarship
committee members about who you are as a person.
f) High School Transcript (7 semesters).(From the Counseling office or the Registrar)
g) This application is also available online: @ http://goo.gl/WV071n or school website by

clicking students then College & Scholarship info link.

PLEASE SUBMIT APPLICATION IN THE FOLLOWING ORDER.

DO NOT SUBMIT PAGE 1 INFORMATION PAGE


Application (page 2 - Dont forget parent/student signatures)

Signatures must be included on page 2 of application

Activities Record (page 3)


Personal essay
Two Letters of Recommendation
High School Transcript (7 semesters)
Generic Scholarship Survey (page 4)
I HAVE KEPT A COPY OF MY COMPLETED GENERIC
SCHOLARSHIP APPLICATION.

DEADLINE FEBRUARY 20th


Upon completion return to Scholarship Counselor
office, or the Counseling office at your school.

PAGE 1 INFORMATION PAGE

(Do not submit this page as part of the application package)

Generic 2014-2015
09/29/14

NEATNESS COUNTS

Application must be TYPED or


completed in BLACK INK only!
Do not complete application in
pencil.
Application should be LEGIBLE.
Application should be turned in
with ONE STAPLE (for the entire
application) in the upper left hand
corner of application

Page 2 of 4

MERCED UNION HIGH SCHOOL DISTRICT Generic Scholarship Application


I hereby authorize MUHSD to release a transcript and such other information as may be necessary concerning

Kayla Wilson
(Student name) _____________________________________________________________________
for scholarship purposes.
1/16/15
Date ____________

X_________________________________

_______________________________________

Parent/Guardian Signature required regardless of students age

Student Signature

401646
Students High School ID Number or Permanent ID Number __________
E-Mail Address __
Name in full

[email protected]
________________________________________________________________

Wilson

Kayla

(Last)
(First)
** Write your name the same as it appears on your school records**
Address
Brookhaven Place

1980

(Number)
Date of Birth

(Street)

11/06/1997

Social Security No.


(last four numbers
only)
Father or Guardian

________ (required)

XXX- XX -1645

School

Buhach Colony High School

(MI)
Cell Phone: ( 209) 261-0991
-

Atwater

95301 Phone No.

(City)

(Zip)

) -

Long Beach

Place of Birth

Name of Junior H.S.

Mitchell Senior

Jeffrey Wilson

Occupation
Mother or Guardian

Rene Wilson

Occupation
# Brothers (living at home)
# Attending college
# Sisters (living at home)
# Attending college

N/A
N/A
3
N/A

Ages:

Ages:

1,4,12

EDUCATIONAL AND VOCATIONAL PLANS


Anticipated College Major: (i.e. Criminal Justice)

Biology

Anticipated Vocational/Career plans:(i.e. Police Officer)

Pediatrician

Address:
City:

School Planning to Attend: University of California, Los Angeles


Los Angeles, CA 90095

Los Angeles

State:

CA

Zip Code:

90095

YOU ARE REQUIRED TO LIST A COLLEGE. IF YOUR COLLEGE CHOICE CHANGES, PLEASE NOTIFY MRS. LANZS OFFICE ASAP.

MARK APPROPRIATE BOX: 2 Year College:


Page 3 of 4
Generic 2014-2015
09/29/14

4 Year College:

Vocational/Technical School:

ACTIVITIES RECORD
Name

Kayla Wilson

Name of High School

School Activities attach additional Activity Record if needed


Student Government:

Name of College
Year of participation

(example: SBO, class officer, class leadership or Ag positions)

10

11
X

12

X
X

X
X

X
X
X
X

X
X
X
X

X
X
X

X
X
X

Secretary in AVID Club

Did you attend Camp RYLA:

Yes

Did you attend Boys /Girls State?

No (Check year attended


Yes

No (Check year attended)

Organizations/Clubs: (note officers positions)


AVID- Secretary 11th
CSF
Link Crew
Mentor
Athletics: (specify Varsity, Junior Varsity or Freshman)
Basketball- Junior Varsity (2 years)

Awards and Honors:


Basketball (most improved one year, participation 2 years)
Scholastic Achievement Award
Honor Roll
Community Activities:

Example: Mercy Hospital 175 hours - Car Wash, Help raise funds for

needy family 4 hours. YOU ARE REQUIRED TO LIST YOUR TOTAL COMMUNITY SERVICE HOURS.

Merced County Economics and Development Department 200 hours


Alziehmer's Multicultural Dance and Fashion Show 130 hours
Link Crew
Mentoring
Hobbies:
Cooking
Shopping
Employment: (state the duration)
N/A

Generic 2014-2015
09/29/14

X
X

Be sure to include the total


number of hours that you
have volunteered.

X
X

X
X

X
X
X
X

X
X

X
X

X
X

College Name:_____________________

Major:_____________________

Circle One: 2 or 4 or Voc.

GENERIC SCHOLARSHIP SURVEY-complete by hand

Page 4 of 4

Highlight all areas that apply. You are required to complete this form as part of the scholarship application packet.
If you list an activity on this survey BE SURE TO INCLUDE IT ON YOUR ACTIVITY SHEET .

STUDENT # ______

Clubs

FFA 9
4-H 9
Key Club
9
Leo Club
9
Interact Club 9
Music Class 9
Ag Class
9

10
10
10
10
10
10
10

11
11
11
11
11
11
11

________ STUDENT NAME _____

12
12
12
12
12
12
12

Miscellaneous

1. Boys State/Girls State-Dont forget to


2. Camp Royal-Rotary Leadership camp

Softball
Swim/Dive
Tennis
Track
Volleyball
Waterpolo
Wrestling
Other:

I played varsity sport


Year(s) you participated in varsity sport
9
10
11 12

RYLA- Dont forget to list on Activity Sheet

3. Leadership Class:
(circle one)

SBO

AG

Link

4. I have been or currently in Foster Care


Yes
No

Highlight all that apply


African American
American Indian
Asian
White (not hispanic)
Hispanic/Latino
Filipino
Other:

Male

Female

Highlight all that apply

Total Community Service Hours


1 99 hours
100 199 hours
200 or more

list on activity Sheet

Athletics
Baseball
Basketball
Cheerleading
Color guard
Cross-country
Football
Golf
Soccer
Marching Band

___________________________

Italian
Japanese
Mien
Portuguese
Asian India
Decline to State

1. ASB/SBO Officer
2. FFA/4-H Officer
3. Club Advisor/Officer
4. Other _____________________
Career/Major
Agriculture
Art/Graphic
Business
Coach
Computer Tech
Education (highlight all that apply)
o Teacher - Grade __
______
o School Administrator
o School Psychologist
o Math Teacher
o Special Education
Engineering
Floriculture/Horticulture/Plant Science
Law Enforcement/ Fire
Science/criminology
Medical/Medical Related Field/ Nurse
Music/Theater
Veterinarian

Generic 2014-2015
October 31, 2014

***** IMPORTANT - DID YOU REMEMBER TO INCLUDE THE ABOVE INFORMATION ON YOUR ACTIVITY SHEET?

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