Austin High School Alumni Association Scholarship

A PPLICATION
INSTRUCTIONS: Complete this form return the application to Ms. Pollock
(room 104) or
Ms. Rojo (room 193) by noon May 11, 2016. Use blue or black ink.
You may also include a typed rsum.
STUDENTS NAME
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STUDENT ID
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(For use by Austin Staff Only)

Scholarship Number: Click here to enter text.

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AAA Scholarship Application

(For use by Austin Staff Only)
Scholarship Number: Click here to enter text.

Austin High School Alumni Association Scholarship

A PPLICATION
EDUCATIONAL INSTITUTION DESIRED:
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MAJOR FIELD OF STUDY:

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INSTRUCTIONS: Must be completed by the School Registrar with the official

school seal.
High School Grade Point Average: _________________ Class Rank: __________________
Registrar Seal:

INSTRUCTIONS: Must be verified and signed by School Counselor.

ACT Composite Score: __________ SAT Scores: Verbal: __________
__________
Counselor Name: _________________________
________________________

Math:

Counselor Signature:

SCHOOL ACTIVITIES
(Academic, Athletic, Band, Student Council, etc. Attach additional pages if more
space is needed.)
CLUB OR ACTIVITY
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CLASSIFICATION
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POSITION HELD
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HONORS
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AAA Scholarship Application

CLUB OR ACTIVITY
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text.
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text.
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text.
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text.
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text.
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text.
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text.

CLASSIFICATION
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text.
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RECOGNITION

POSITION HELD
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AND/OR

HONORS
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AWARDS

(Local, State and National)

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COMMUNITY SERVICE PROJECTS

(Blood Drive, Campus/ Community Clean-up, Collection of Food/Coats, etc.)

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WORK EXPERIENCE

List any jobs or volunteer work service in which you have participated in during the
last two years. Attach additional pages if more space is needed.
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POSITION HELD
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Click
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ESSAY

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DATES EMPLOYED
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What are your long-term goals and how would continuing your education help you
achieve those goals? (The essay can be submitted as an attachment)
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