THE DEVELOPMENTAL VISION CENTER OD PLLC - Charlotte …



CCHS Alumni Association Scholarship DescriptionThe Charlotte Catholic High School Alumni Association is pleased to continue its tradition of offering two college scholarships to graduating seniors. The purpose of the CCHS Alumni Association Scholarships is to recognize and award two graduating seniors who have:Contributed to a positive school environment through academic performance and various forms of extracurricular involvement, including activities such as sports, leadership roles, student council, and various other clubs and programs;Demonstrated a commitment to community involvement and service; andExemplified a positive image of Charlotte Catholic High School to the church and community.To qualify for a scholarship, students must complete the application below in full. Applications must be typed, printed, and signed by the student, and turned in to Mrs. Smith in the Counseling Office no later than Tuesday, March 31, 2020. Applicants must have completed all academic requirements set forth by the school, and be eligible for graduation. In addition, applicants must have been enrolled at Charlotte Catholic High School for at least two full school years.Two scholarships of one thousand five hundred dollars ($1,500) each will be presented at the Senior Awards Ceremony and will be payable immediately to each recipient’s account at the college, university, or advanced educational institution of his or her choice. The award will not be payable directly to the recipients.The CCHS Alumni Association Board of Directors, which will be reviewing all scholarship applications and reading all essays, is made up of committed Alumni Association members whose experience during their years at Charlotte Catholic was such that they want to give back and support the school in a variety of ways. All information provided by applicants will be confidential, and access to the information will be limited to the Alumni Association Board of Directors. Any members of the Board of Directors who have a conflict of interest, personal or professional, will not participate in the scholarship selection process. Academic information is subject to verification. Additional information provided by the applicants may be verified as deemed necessary by the Alumni Association Board of Directors.Selection criteria will include consideration of the following:Academic AchievementCCHS and Community InvolvementFine Arts Involvement Athletic InvolvementEssay Response 7702 Pineville-Matthews Road, Charlotte, North Carolina 28226 ● 704-543-1127 ● Scholarship Application This application is to be completed by the student applicant. Requested information must be typed and is limited to the space provided. Applications must be printed, signed by the student applicant, and turned in to Mrs. Smith in the Counseling Office no later than Tuesday, March 31, 2020. Applicants must have completed all academic requirements set forth by the school, and be eligible for graduation. In addition, applicants must have been enrolled at Charlotte Catholic High School for at least two full school years. All information provided by the applicant is subject to verification. All applications are confidential and will be viewed only by the CCHS Alumni Association Board of Directors. Applicant InformationLast Name FORMTEXT ?????First FORMTEXT ?????M.I. FORMTEXT ?Nickname FORMTEXT ?????Street Address FORMTEXT ?????Apartment/Unit # FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ??ZIP FORMTEXT ?????Phone FORMTEXT ???- FORMTEXT ???- FORMTEXT ????E-mail Address FORMTEXT ?????Father’s Name FORMTEXT ?????Mother’s Name (including maiden) FORMTEXT ?????Are your parents CCHS alumni?YES FORMCHECKBOX NO FORMCHECKBOX If so, year(s) of graduationDad FORMTEXT ????Mom FORMTEXT ????Have you ever been suspended from CCHS? YES FORMCHECKBOX NO FORMCHECKBOX What were the circumstances? : FORMTEXT ?????EducationColleges, Universities, or Advanced Educational Institutions of your choice:First choice: FORMTEXT ?????Second choice: FORMTEXT ?????Third choice: FORMTEXT ?????Probable College Major: FORMTEXT ?????Cumulative CCHS Grade Point Average as of application submission date: FORMTEXT ????CCHS and Community InvolvementPlease list involvement and any leadership positions held at Charlotte Catholic High School.Student Government, Clubs, Fine Arts, & Other Activities. Please use a separate line for each. Example: Sophomore Class President (line 1); Student Body President (line 2).Check Years of ParticipationLeadership Position (ex. Student Body President, Club Treasurer, etc.) and year(s) for each position FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Athletic InvolvEmentPlease denote JV or Varsity and use separate line for each. Example: JV Cheerleader (line 1); Varsity Cheerleader (line 2).Check Years of ParticipationLeadership Position (ex. V. Football Captain, JV Lacrosse Captain, etc.) FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX Position FORMTEXT ????? Year(s) 9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX HonorsPlease list Honors & Awards Check Years of Participation FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX FORMTEXT ?????9 FORMCHECKBOX 10 FORMCHECKBOX 11 FORMCHECKBOX 12 FORMCHECKBOX ESSAYPlease answer the following essay question. Please limit your response to the space provided. This form Must be submitted with your application. Please describe a person or an experience that has had an influence on your life during your years at Charlotte Catholic High School. Describe how and why that person or experience has helped to shape your character.Please type your essay here: FORMTEXT ?????Please use the space below if you need more room for your essay. FORMTEXT ?????AcknowledgementI have read the CCHS Alumni Association Scholarship description, including the description of the selection process and conditions of acceptance, and hereby accept nomination for the Scholarship with full knowledge of the selection process. I acknowledge that all academic information provided is subject to verification, and I authorize the CCHS Alumni Association Board of Directors to obtain official school verification of such. I understand that all information included within this application will be limited to the CCHS Alumni Association Board of Directors. Finally, I attest that all of the information, which I provided, is true and accurate.Student Signature FORMTEXT ?????Date FORMTEXT ????? ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download