FCHS COMMON APPLICATION



[pic]OTWELL MIDDLE SCHOOL “Big DAWG” SCHOLARSHIP [pic]

APPLICATION 2014-2015

College Path Tech Path Education Major

Please select one of the boxes above that best fits your future.

All applicants must have attended Otwell for two years AND be a graduate of Forsyth Central High School.

Directions: Turn your application into Mrs. Berry in the counseling office no later than 4pm on March 27, 2015. Type or print in ink. All students who apply for the Otwell Middle ‘Big DAWG’ scholarship must have attended Otwell Middle School. All information will be kept confidential.

Name: First_________________________Middle_________________________Last___________________________

Email Address: ___________________________________________________________________________________

College Planning to Attend__________________________________________________________

Anticipated Major___________________________ Parent/Guardian Name___________________________________

1. How many members are there in your family?______

2. How many children in your family (including yourself) will be attending college next year? ______

3. Please circle the bracket which is most descriptive of your family’s income.

(Over $75,000) ($50,000-$75,000) ($25,000-$50,000) (Below $25,000)

4. Are there any unusual circumstances which would prohibit your family from being able to pay for your college expenses?

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

5. As an attachment, please briefly describe your career goal.

6. As an attachment, please answer the following question in essay format: What obstacles have you overcome to get

where you are today?

(Education Majors only need to answer #7)

7. As an attachment, please answer the following question in essay format: Who is a teacher who has had the greatest

impact on you and why?

I give permission for my transcript to be attached. ____________________________________________________

(Student Signature)

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|For Office Use Only |

|Grade Point Average_____________________ SAT Scores_____________________ ACT Scores _____________________ |

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