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Junior League of Buffalo High School Scholarship

Are you a female high school senior graduating in the class of 2021? The Junior League of Buffalo invites you to apply for one of

two two-thousand-dollar ($2,000) scholarships to be given to your post high school educational institution to defray expenses for tuition, books, fees or dormitory.

Selection of recipients is based on evidence of demonstrated leadership, strong academic performance, a well-rounded high school experience, and references from a teacher, guidance counselor or other school or community professional who can speak to your leadership and has seen your leadership skills in action.

A person related by blood or marriage to any member or employee of the Junior League of Buffalo is ineligible for this scholarship.

SECTION A. To be filled out by the applicant.

Student Name_________________________________________________Phone________________________

Address_____________________________________________City________________________Zip_______

High School Name______________________________________________Phone_______________________

Address_____________________________________________City________________________Zip_______

Are you a relative by blood or marriage to any member or employee of the Junior League of Buffalo? _______Yes_______No If yes, you may not apply for this scholarship.

List agencies where you did your most significant volunteer work

(Including community service hours required by your school):

|Agency |Brief Description of Agency |Years of Service |Hours/week |

| | | |Your Responsibilities |

|1. | | | |

|2. | | | |

|3. | | | |

Please list your extracurricular activities including the years in which you were involved. __________________________________________________________________________________________

Are you currently employed? _______Yes _______No If yes, how many hours per week? ___________

If yes, please describe (tutoring, baby-sitting, retail, etc.) _________________________________________

The Junior League of Buffalo provides the proceeds for these scholarships.

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SECTION B. To be filled out by the applicant.

In a narrative form, using a maximum of 500 words, provide the following information: What does leadership mean to you? Please share examples in which you feel you have demonstrated leadership within your school or community? How will this scholarship benefit you? On this page, please include any other relevant information you would like to share.

ALL SECTIONS (A, B, C, and D) OF THIS COMPLETED APPLICATION

MUST BE SUBMITTED AND RECEIVED BY 2 p.m. February 15, 2021

Email completed applications to JLBScholarshipCommittee@

Please read the following statement and sign that you agree with it:

The information contained in this application is true. To the best of my knowledge, I am not a relative by blood or marriage of any member or employee of the Junior League of Buffalo.

Applicant’s Signature______________________________________________________________________

The Junior League of Buffalo provides the proceeds for these scholarships.

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Junior League of Buffalo High School Scholarship

The Junior League of Buffalo is offering two, two-thousand-dollar ($2,000) scholarships to be given to a high school senior to defray expenses for tuition, books, fees or dormitory. Selection of recipients is based on evidence of demonstrated leadership, strong academic performance, a well-rounded high school experience, and references from a teacher, guidance counselor or other school or community professional who can speak to your leadership and has seen your leadership skills in action.

Application Deadline ~ February 15, 2021

SECTION C. To be filled out by the Senior High School Counselor, Teacher or Community Professional familiar with the Leadership qualities of the applicant within the last two years.

Applicant’s Name__________________________________________________________________________

1) How long have you known the applicant? ______________________

2) In what capacity have you known the applicant?

3) How would you assess the applicant’s character? Please circle one of the following:

Poor Fair Average Above Average Outstanding

4) Why do you recommend this applicant for this scholarship?

Name of Reference _________________________________Work Phone_____________________________

Signature__________________________________________Title___________________________________

The Junior League of Buffalo provides the proceeds for these scholarships.

Junior League of Buffalo

2021 High School Scholarship Application

Section D. Secondary School Transcript Request Form

Please type all requested information on this form.

Student’s legal name: ____________________________________________________

Last First Middle

To comply with the provisions of the Family Educational Rights and Privacy Act of 1974

(P.L. 93579), a school must obtain signed authorization before it can release information about

the candidate for use in this scholarship program.

Permission is hereby given to school officials to release the secondary school record and other requested information for consideration in the above-named scholarship program.

Student’s signature: _____________________________________

Date: _____________________________________

High School Name: _____________________________________

____________________________________________________________

City State Telephone

Note for the principal:

The above-named student is a candidate for a 2021 Junior League of Buffalo High School Scholarship. To process the application, we must have a record of the nominee’s secondary school academic performance. Please attach to this form a copy of the nominee’s secondary school transcript, including grades 9 through 12, and emailed to JLBScholarshipCommittee@.

This form and transcript of grades must be returned by February 15, 2021. If the transcript is not provided, the student may be placed at a disadvantage in relation to other applicants.

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SCHOLARSHIP APPLICATION

For Female High School Seniors Only

Graduating Class of 2021

Application Deadline ~ February 15, 2021

ALL INFORMATION MUST BE TYPED ON THE APPLICATION. PLEASE SUPPORT OUR EFFORT TO GO GREEN BY RETURNING THIS APPLICATION VIA EMAIL TO: JLBScholarshipcommittee@

INCOMPLETE INFORMATION OR ADDITIONAL PAGES WILL DISQUALIFY THIS APPLICATION.

Page 1 of 4

ALL INFORMATION MUST BE TYPED.

A separate sheet of paper is permissible for the narrative.

Page 2 of 4

SCHOLARSHIP APPLICATION

For Female High School Seniors Only

Graduating Class of 2021

ALL INFORMATION MUST BE TYPED ON THIS APPLICATION.

ADDITIONAL PAGES WILL DISQUALIFY THIS APPLICATION.

Page 3 of 4

SCHOLARSHIP APPLICATION

For Female High School Seniors Only

Graduating Class of 2021

Page 4 of 4

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