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General Scholarship Application (Fillable)

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Alejandra Gallegos
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33 views2 pages

General Scholarship Application (Fillable)

Uploaded by

Alejandra Gallegos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CARTHAGE SENIOR HIGH GENERAL SCHOLARSHIP APPLICATION

(make copies as needed after Section II is completed by your counselor)

NAME OF SCHOLARSHIP
___________________________________________________________________
(please print in ink after copies have been made)

SECTION I: STUDENT SECTION (Information to be supplied by applicant)

APPLICANT INFORMATION

FULL NAME (First & Last)  Alejandra Gallegos   

☐ MALE ☐ FEMALE DATE OF BIRTH      

PARENT/GUARDIAN INFORMATION

I live with (check all that apply): ☐ Mother ☐ Father ☐ Step-mother ☐ Step-Father ☐ Other (Please
specify)      

PARENT/GUARDIAN NAME(S) IN FULL      

HOME ADDRESS (Home in which you reside)      

Father/Male Guardian Occupation (if applicable)       Employer      

Mother/Female Guardian Occupation (if applicable)       Employer      

TOTAL FAMILY INCOME FOR THE HOME IN WHICH YOU RESIDE: (Select ONE)
☐ Under $27,500 ☐ $27,501 - $42,500 ☐ $42,501 - $75,000 ☐$75,001-UP

Are there any special family financial considerations of which the scholarship committee should be aware?
     

COLLEGE(S) you are most likely to attend:

1st Choice       ☐ Commute ☐ Live on Campus ☐ Other (Please specify)      

2nd Choice       ☐ Commute ☐ Live on Campus ☐ Other (Please specify)      

Anticipated College Major      

Job/Career goals:      


POTENTIAL RESOURCES

Will your parent/guardian be contributing to your college expenses? ☐ Yes ☐ No

Scholarships already received/expected $     


** THIS AMOUNT MUST INCLUDE ACADEMIC SCHOLARSHIPS AWARDED AUTOMATICALLY BY YOUR INTENDED
COLLEGE/UNIVERSITY (IE: MERIT, PRESIDENTIAL, EXCELLENCE, ETC.), BRIGHT FLIGHT, A+, ETC. YOU MAY HAVE TO LOOK ON
YOUR INTENDED SCHOOL’S WEBSITE/SCHOLARSHIP PAGE TO DETERMINE WHICH AUTOMATIC SCHOLARSHIPS YOU QUALIFY FOR
AND HOW MUCH THEY ARE WORTH. YOU MUST LIST SPECIFIC DOLLAR AMOUNTS FOR ALL SCHOLARSHIPS. **

What you are doing or will you be doing to help meet your anticipated college expenses? Include how you
have earned or saved money, where you are working or plan to work, and what your plans will be for the
coming summer.

     

☐ (REQUIRED) I HAVE ATTACHED A RESUME CONTAINING INFORMATION ABOUT MY ACTIVITIES AT SCHOOL, CHURCH, AND/OR
IN THE COMMUNITY, ANY ORGANIZATIONS TO WHICH I BELONG, OFFICES I HAVE HELD, AND HONORS/AWARDS I HAVE
RECEIVED.

After you have completed Section I of this application, bring it to the Counselors' Office to have Section II
completed. Remember to sign the application and have your counselor complete Section II before you make
copies. After making copies, write the name of the scholarship at the top of the first page and submit it
according to the instructions specified for that scholarship in the scholarship book.

Applicant Signature _________________________________________________ Date ___________________

SECTION II: COUNSELOR SECTION (Information to be supplied by counselor)

Class Rank _____________ (at the end of 7 semesters)


Cumulative GPA_________

College Admission Test Scores:


Name of Test Date Tested Composite Score
__________________________________________________________________________________________

__________________________________________________________________________________________

Counselor Signature__________________________________________________ Date __________________

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