SCHOLARSHIP APPLICATION FORM - Anderson County …



CLINTON HIGH SCHOOL COMMON SCHOLARSHIP APPLICATION FORM FORMTEXT Type name of scholarshipName of ScholarshipName: FORMTEXT Last Name, First Name, Middle InitialBirth Date: FORMTEXT Type Date of BirthAddress: FORMTEXT Street AddressTelephone: FORMTEXT Phone Number FORMTEXT City, State, Zip CodeParent(s’)Name(s): FORMTEXT Parents NameAcademic AchievementACT Composite: FORMTEXT Score FORMTEXT ?????GPA: FORMTEXT GPARank in Class: FORMTEXT Rank/ FORMTEXT Out ofList courses taken and courses in progress. List grades received. 9th GradeGradeReceived10th GradeGradeReceived11th GradeGradeReceived12th Grade (andCourses in Progress)GradeReceived FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????List all honors and awards earned beginning with the 9th grade. (Attachment if necessary) FORMTEXT ?????I have applied to the following post-secondary educational institution(s) for admission. FORMTEXT ?????__________________________________________ Signature of StudentI authorize the Anderson County School System to release academic information to the Scholarship Selection Committee of the above-named organization.Date: ____________________________ _____________________________________________________ Signature of Student (or Parent if Student is a Minor)Clinton High School Common Scholarship Application FormList high school activities (grades 9 – 12) indicating any positions of leadership and/or awards earned. OrganizationNumber of Years InvolvedPositions of Leadership FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? List community service/volunteer work (grades 9 – 12) indicating approximate hours spent. FORMTEXT ?????3. List and describe work experiences with approximate number of hours per week and whether the job was held during the school year or in summer. FORMTEXT ?????4. Describe your career goals at this time in your life. FORMTEXT ????? 5. Describe your character and/or personality strengths. FORMTEXT ?????Clinton High School Common Scholarship Application FormFinancial informationMany organizations incorporate financial need as a basis for awarding scholarships. The following information helps make that determination. It will only be made available to the Scholarship Committee.Father’s Occupation: FORMTEXT Type in Father's OccupationMother’s Occupation: FORMTEXT Type in Mother's OccupationNumber in Family (living at home): Brothers FORMTEXT #Sisters FORMTEXT #Others (specify relationship): FORMTEXT ?????Approximate family yearly income: FORMTEXT Yearly incomeApproximate student yearly income: FORMTEXT Yearly incomeOther financial aid or scholarships received as of this date ( include the HOPE scholarship if known):Name of AidAmount FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? The family’s statement regarding financial needs: FORMTEXT ?????I verify that the financial information provided to the Scholarship Selection Committee for this scholarship application is correct.Date: _________________________ ________________________________________________________ Signature of Student (or Parent if Student is a Minor) ................
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