Liberty high School 2021-2022

STUDENT NAME_____________________________

STUDENT ID#

_____________________________

Liberty high School

2021-2022

Local Scholarship application

Applications must be turned into the

College & Career Center

On or before Friday, January 21st @ 4pm. Applications

turned in after the deadline date or incomplete

applications will not be considered.

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Liberty High School

Scholarship Instructions

Please read through all the instructions prior to completing.

1. Application:

Application should be completed to the best of your knowledge. All areas are required unless

noted as optional.

2. Scholarship Selection List:

a. Click to fill in the box next to each scholarship that you qualify for on pages 9-17.

Choose as many as you are eligible for. See list of scholarships with required criteria

for full description, eligibility requirements and required additional essays if applicable.

b. Once you've completed your packet, please go to the College & Career Center

webpage; click on the Local Scholarship tab, and fill out the "Local Scholarship

Program Survey", where you will also select all the applications you've applied for.

3. FAFSA Confirmation:

Please include a copy of your FAFSA Confirmation page showing your EFC with your

completed packet.

4. Personal Statement & Essays :

a. See page 6 for instructions. All students are required to submit the Personal

Statement with the application.

b. Additional required essays if applicable are noted under the name of the scholarship in

the list of scholarships. Please see the full description pages. (criteria pages)

c. Full name of student and scholarship name, should be clearly marked on all pages of

each essay in the top right hand side of the page.

5. Letters of Recommendation:

a. Two letters of recommendation are required.

b. One from a Liberty High School staff member (staff member may email form if they do

not want to give directly to student).

c. One from an adult outside of the Liberty High School community.

All Students MUST turn in a minimum of TWO Scholarship Committee complete

packets including the following: (One digital [PDF] and one hard copy) and

complete the survey to be found on the Career Center webpage.

1. Personal statement (1 page double spaced)

2. FAFSA Confirmation Page with EFC

3. Transcript (unofficial) available from student portal in Aeries or

4. Attendance Record- Senior year only-available from student portal in Aeries

5. 2 letters of recommendation (please see above requirements)

6. ALL additional essays written from BOTH the Scholarship Committee list and the Donor

list.

7. Submit the digital copy on the Career Center webpage and follow those directions.

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Liberty High School

2021 Scholarship Application

Name of Student: ____________________________________________

ID#:_______________

Student¡¯s Information:

Address: ___________________________________________________________________________

City: _______________________________

State____________

Home phone (____) _________________

Cell phone (____) ___________________________

Zip:_________________

Email Address: ________________________________________________________________

Are you currently working? Select

________

If yes, how many hours per week? ______________

Company¡¯s Name: ________________________________________________________________

If employed is anyone dependent on your present income? _____ Yes

Select

Do you plan on working while attending college? ________

_____ No

How many hours? ________

Have you applied for the Free Application for Federal Student Aid (FAFSA)? _____ Yes ____ No

If yes, Please attach FAFSA Confirmation page.

If no, why not? ____________________________________________________________

Please list any other financial support you may receive (scholarships, grants and savings) towards

your post high educational expenses:

________________________________________________________________________________

Optional Information:

1.

___U.S. Citizen

___Permanent Resident

___Alien Resident

2. Mark your ethnic background: ___Caucasian ___African-American ___Hispanic ___ Filipino

___Pacific Islander

___Asian

___American Indian

___Eastern Indian

Other:______________

3. Please list any organizations or clubs in which your parents are members. (i.e.: Kiwanis, Rotary,

Lions, American Legion)

4.

Are you first generation college student? _____ Yes _____ No

(If either of your parents has not attended college, then you are considered first generation)

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Student Name: _______________

Parent¡¯s Information:

1. Parents¡¯ current marital status:

Single

_____Married

Separated

Divorced

Widowed

With whom do you live?

Name of Parent or Guardian #1:___________________________________________________

Name of Parent or Guardian #2:___________________________________________________

Parent or Guardian #1¡¯s Occupation: _______________________________________________

Parent or Guardian #2¡¯s Occupation: _______________________________________________

List all family members in your household include your parents, (if you live with them) yourself, your

siblings, and anyone supported by your parents and indicate current status:

Name

Current Grade

Indicate grade

Employed

yes/no

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

Continuing Education

where

OPTIONAL: Annual Family Income

(Please check the range that applies.)

____$0-10,000

____$11,000-19,999

____$60,000 - 79,999

____$125,000 - 149,999

____$20,000-39,999

____$80,000- 99,999

____$40,000-59,999

____$100,000 - 124,999

____$150,000 -174,999 ____$175,000 - 200,000 ___Over $200,000

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Student Name:

__________________

Note any extenuating circumstances which may have burdened the family financially:

List colleges/universities, which you have applied to:

College Name

City

State

Total Annual Cost

Accepted (Y/N)

Select

Select

Select

Select

Select

Select

Select

Select

Select

Select

What is your planned major? _________________________________________________________

What are your career objectives?

___________________________________________________________________________________

___________________________________________________________________________________

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