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COMMUNITY SCHOLARSHIP APPLICATION2016-2017Name: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Age: FORMTEXT ?????Male FORMCHECKBOX Female FORMCHECKBOX LastFirstMiddleAddress: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????StreetCityZip CodeHigh School: FORMTEXT ?????GPA: FORMTEXT ?????Home Phone: FORMTEXT ?????Student Cell Phone: FORMTEXT ?????Student email: FORMTEXT ?????This application allows Auburn District seniors to be considered for all scholarships awarded by donors in the Auburn community. The selection committee will consist of representatives from the community or the donors of the scholarships. Recipients of local scholarships will be announced at the annual Senior Awards Night at each school. Only students who will graduate from an Auburn School District high school are eligible to apply. Applications must be turned in to the Career Center at AMHS & ARHS and to the Guidance Office at AHS and West by March 27, 2017Include the following: FORMCHECKBOX TYPED Community Scholarship Application FORMCHECKBOX Two letters of recommendation (No more than two will be accepted) FORMCHECKBOX Letter of Recommendation: from someone in the education community FORMCHECKBOX Personal letter of recommendation: can be written by anyone who can speak to your character, skills, leadership, special circumstances, financial need, etc. Some scholarships require additional information. Please check all that apply *double click on box to mark those areas that apply)Planning to study: FORMCHECKBOX Education FORMCHECKBOX Health Science/Medical FORMCHECKBOX AviationMember of: FORMCHECKBOX ASB FORMCHECKBOX DECA FORMCHECKBOX FBLA FORMCHECKBOX Interact FORMCHECKBOX Key Club FORMCHECKBOX LeadershipSchool Programs: FORMCHECKBOX Choir FORMCHECKBOX Culinary Arts FORMCHECKBOX Drama FORMCHECKBOX OrchestraSports: FORMCHECKBOX Cheer FORMCHECKBOX Football FORMCHECKBOX Swim FORMCHECKBOX Other sports involved in: FORMTEXT ?????Disability: FORMCHECKBOX Hearing or Vision Impaired FORMCHECKBOX Disabled FORMCHECKBOX Patient of Molen Orthodontics FORMCHECKBOX Running Start FORMCHECKBOX Attended Washington Elementary FORMCHECKBOX Community ServiceApproximate # of hours during 9-12th: FORMTEXT ?????Type of school you plan to attend: FORMCHECKBOX 4 year FORMCHECKBOX Community College FORMCHECKBOX Public Technical College FORMCHECKBOX Private Career SchoolChoice of college/school: FORMTEXT ?????Area of Study: FORMTEXT ?????Future Career: FORMTEXT ?????State why you have chosen this field of study / intended career and explain how education will help you attain your goals. Please limit to 300-350 words on a separate page and attach. FAMILY DATAMother’s Name: FORMTEXT ?????Father’s Name: FORMTEXT ?????Address: FORMTEXT ?????Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????(city)(State)(Zip Code) FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????(city)(State)(Zip Code)Occupation: FORMTEXT ?????Occupation: FORMTEXT ?????Single Parent Household? FORMCHECKBOX Number of children in family that are:Older than yourself? FORMTEXT ?????Younger than yourself? FORMTEXT ?????Number in college (including yourself)? FORMTEXT ?????FINANCIAL INFORMATION If you choose not to complete this section, you will not be considered for scholarships requiring proof of need. Estimate, as accurately as possible, your expenses for the academic year of this request, using the college you are most likely to attend. Additionally, please estimate the income you expect in order to meet these expenses. FORMCHECKBOX Check if you qualify for Free or Reduced LunchesEXPENSES for Academic YearANTICIPATED INCOME per yearTuition and required fees FORMTEXT ?????Savings for education FORMTEXT ?????Books and supplies FORMTEXT ?????Summer employment FORMTEXT ?????Room and board FORMTEXT ?????Scholarships FORMTEXT ?????Other (Personal, Transportation, Tech and Recreation Fees, and Loan fees) FORMTEXT ?????Family Help FORMTEXT ?????Total anticipated expenses FORMTEXT ?????Total anticipated income FORMTEXT ?????Please provide any additional financial information that may be helpful to the scholarship committee. FORMTEXT ?????SUMMARY OF HIGH SCHOOL ACTIVITIES AND PROGRAMS Please tell us about your involvement in each of the areas below. Feel free to include the number of hours, offices held, leadership roles you may have had, involvement in special projects, etc.Special Interests/Hobbies/Talents: FORMTEXT ?????Awards and honors received in high school and the year received: FORMTEXT ?????Activities and/or volunteer work outside the school setting in years 9-12: FORMTEXT ?????High school clubs and activities you have participated in years 9 through 12: FORMTEXT ?????Athletic participation (include years) both in and out of school. FORMTEXT ?????Leadership experiences (offices held, committee chairs, team leader, etc.). FORMTEXT ????? ................
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