Mourning Senior High

Annual Scholarship Application

Deliver the completed application and essay to Ms. Rodriguez, CAP Advisor by March 14, !14 STUDENT INFORMATION: "ame# %ast &irst Middle Age# $$$$$$$

'ome Address# $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ (treet City (tate )ip 'ome Phone# * + ,mail#$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Months ,ligible "on0Citizen# .es$$$$ "o $$$$

-ime living in &lorida# .ears /.(. Citizen# .es $$$"o $$$ ,1pected date o2 graduation# *month, day, year+ 3rade Point Average# *5eighted+

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.our 2irst choice 2or school and 6hether you have been accepted and i2 not, 6here you have been Accepted to# $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Course o2 study you intend to pursue# $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ FAMILY INFORMATION: &ather7s "ame# $$$$$$$$$$$$$$$$$$$$$$$ 5or48Cell Phone# * + $$$$$$$$$$$$$$$ Mother7s "ame# $$$$$$$$$$$$$$$$$$$$$$ 5or48Cell Phone# * + $$$$$$$$$$$$$$$

'ome Address 2or parent i2 not living 6ith student# $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ (treet City (tate )ip ho in !our "a#il! is a $TA%$TSA Me#&er9 $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

S$E'IAL RE'O(NITION%A ARDS

'OMMENDATION :
(RADES

A'TI)ITY 1

1!

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'OMMUNITY IN)OL)EMENT *non+school relate,'OMMUNITY (ROU$

*P%AC, ;& 5;R('<P, C%/=, C;MM<--,,, ,-C.+ (RADES

LE)EL OF IN)OL)EMENT 1

1!

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STUDENT A'TI)ITIES *e.tracurricularS'HOOL A'TI)ITIES : (RADES 1! 11 1 LEADERSHI$ $OSITIONS%A''OM$LISHMENTS

The PTA/PTSA is looking to give scholarships to seven different types of students: Please mark all of the areas in which you wish to apply. You may choose more than one category. 1. Scholarship: Those students who have excelled academically. 2. Service: Those students who have given their time and effort to benefit other students and the community. 3. Leadership: Those students who have ta en an active part in school activities and the community. !. "thletics: Those students who have participated in both club and school sports. #. 1"rt: Those students who have participated in the debate$ music$ television$ arts and%or drama for the school or community. &. 'ver (ome "dversity: Those students who have shown themselves to be capable in spite of ma)or setbac s early on in school and%or at home. *. +romise: Those students who may not have excelled in high school but have huge amounts of potential and dreams. After choosing one or more categories, please write an essay, one page, dou le spaced incorporating why you chose the category or categories and how it pertains to one of the topics elow. 1. ,rite an essay on how your experience at "lon-o and Tracy .ourning Senior /igh School has prepared you to enter the next phase of your life.

2.

,hat are your goals for the future0