Par or Better Scholarship Application Form

INSTRUCTIONS: Student is to complete and provide all of the requested documentation in the instructions to be considered for this scholarship. Only a high school senior attending a College or University this fall will be considered by the review committee.

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PERSONAL DATA

PERSONAL DATA

Name

Home Address

City

State

Zip

Telephone Number

Email Address

Educational Information

EDUCATIONAL INFORMATION

Name of Your High School

Address of High School

City

New Field:

Zip

What is Your Graduation Date?

Your G.P.A.

Official Transcript is Included

Yes

What is the Name of Your High School Counselor?

Counselor’s Telephone Number

Accepted for Fall Admission to

List Your High School Extra-Curricular Activities (Can use an extra sheet)

List Any Honors or Awards You Have Received

On a separate sheet type a 200 – 400 word essay including information about yourself and the importance of receiving this scholarship for your anticipated major. Each page should be numbered and your name should appear in the top left margin of each page.

The information provided is true and accurate

Deadline: Must Be Received by