Lenape High School Senior Scholarships Application Information



Lenape High School Senior Scholarships Application 2021

Any senior who wishes to be considered for local scholarship awards presented at graduation must fill out this Lenape local scholarship application. Some scholarships are financial need based, some are not. Most have criteria based on residency, major, GPA, and other qualifications. Please fill out the application as accurately and completely as possible. Completed applications can be mailed back to school or the students may return them to Mr. Rich Jacobs in the Counseling Center. They must be completed and returned by April 1, 2021.

GENERAL DIRECTIONS

Please read the entire application before completing it. Be sure you understand what information is requested and make the application legible. Make sure all items on application are completed and check before turning application in.

Essay Requirement

Type a one page or less essay explaining why you should be considered for an award/scholarship. Please explain why you feel you should receive scholarship consideration and any special circumstances to be considered. This essay is very important to the application process. Your application will be considered INCOMPLETE without this essay.

SCHOLARSHIP APPLICATION

DEMOGRAPHIC/FINANCIAL INFORMATION

Name: ________________________________________________________________

Home Address: ________________________________________________________

________________________________________________________

Phone: _____________________________ Birthdate: ________________________

Who do you currently live with? (Circle one. If foster parent or guardian explain below.)

Both parents Mother Father Foster Parent Guardian

Father’s occupation/place of employment/yearly income: ____________________________________

Mother’s occupation/place of employment/yearly income: ___________________________________

Gross family income (combined): _____________________________________________

Comments (extraordinary expenses/parental ability pay for college/etc.):

Family Members: Please include all siblings/dependents in household.

Name: _________________________Age:____

Grade in school/college: ____________ Cost (if in college): __________________

Name: _________________________Age:____

Grade in school/college: ____________ Cost (if in college): __________________

Name: _________________________Age:____

Grade in school/college: ____________ Cost (if in college): __________________

Name: _________________________Age:____

Grade in school/college: ____________ Cost (if in college): __________________

MOUNT LAUREL SCHOOLS ATTENDED SECTION

Please check the Mount Laurel schools that you attended and the number of years at each.

_______Parkway ______Hartford

_______Hillside ______Harrington

_______Countryside

_______Fleetwood

_______Larchmont

_______Springville

ACTIVITIES SECTION

Please list all sports/clubs you participated in at Lenape and which school years. Use additional sheets if necessary.

LENAPE ACTIVITY YEARS OFFICE/HONORS

Please list all sports/clubs you participated in at outside of Lenape and which school years. Use additional sheets if necessary.

OUTSIDE ACTIVITY YEARS OFFICE/HONORS

Please list your community service involvement during years at Lenape. Use additional sheets if necessary.

SERVICE ACTIVITY DATES TOTAL HOURS

Please list your work experience. Use additional sheets if necessary.

EMPLOYER DATES HOURS PER WEEK

COLLEGE SECTION

What college will you attend? ______________________________________________________________

What is the cost of the college? _____________________________________________________________

What is your major? _______________________________________________________________________

What career will you pursue after college? __________________________________________________

Do you plan on earning an advanced degree after college? In what field (i.e. medical/law/Ph.D)?

How will you pay for college? ______________________________________________________________

Total amount of scholarships or non-loan awards from the school. Please specify if scholarship is sport or academic related.

Scholarship: _____________________________________

Grant: ___________________________________________

PARENTAL SIGNATURES AND CERTIFICATIONS SECTION

I certify that all statements contained in this application are true and correct, and that I believe myself eligible to apply for a local scholarship. I also acknowledge my transcript will be reviewed by the selection committee.

The applicant understands that the Scholarship Committee reserves the right to withdraw a scholarship if it is found that the information requested is falsified or withheld.

Student’s signature: __________________________________________________________________

Date: ________________________________________________________________________________

This application meets my approval:

Parent’s signature: ____________________________________________________________________

Date: _________________________________________________________________________________

RELEASE OF TRANSCRIPT/INFORMATION

PERMISSION TO TRANSMIT PUPIL RECORDS TO/FROM LENAPE HIGH SCHOOL

There are several outside organizations who use the Lenape High School Scholarship Application to award scholarships to Lenape students. If you would like these organizations to review this application and student transcript, please complete the following section.

I, as parent or guardian of_______________________________________request that this school forward as indicated the pupil records of the above.

I wish to have the student transcript and this application forwarded as indicated.

Date: __________ Signature: _____________________________________

Parent/Guardian or Adult Pupil

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