2014 MHS LOCAL SCHOLARSHIP APPLICATION
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1 2014 MHS LOCAL SCHOLARSHIP APPLICATION Completed Applications due by 3:30pm March 4, 2015 To Mrs. Bunnell, MHS Main Bldg room 135 Only seniors enrolled in the Coos Bay School District who receive a diploma within the 2015 school year may apply. Applications must be typed. Some scholarships have specific requirements, be sure to complete all steps to be considered for these. Remember neatness counts! Your completed application will be copied and distributed to various selection committees who select the scholarship recipients. There are several scholarships with a wide range of criteria. The committee, a group of dedicated community members, will decide the scholarship(s) for which you best qualify. The list of scholarships can be found on the MHS College/Career Website. Scholarships will be awarded in May at the Scholarship Assembly and the Senior Awards Dessert. If you have any questions or need help please see Mrs. Bunnell, your counselor, or your ASPIRE/Talent Search/Upward Bound mentor. APPLICATION CHECKLIST 1. Download the application from the MHS College Information Webpage, change view to Edit, rename document and save. 2. Parent/Guardian and Student MUST sign application. (even if student is 18) 3. PROOF READ YOUR APPLICATION CAREFULLY! 4. Application should be put together in the following order, each should be limited to 1 page: a) Personal and Academic information b) Family and Financial Information c) Copy of FAFSA that includes your EFC (estimated family contribution) d) **Optional** Special Financial Consideration e) Activities Chart (will accept OSAC, CIS, or Activities Chart that is linked on webpage) f) Personal Statements 2 per page. 150 word max, include the question and number g) **Optional** Jason Forrester or Vocational/Technical Scholarships info page h) **Optional**Recommendation for Forrester or Voc/Tech Scholarships i) Staple the entire package (do not include this cover sheet) left hand corner j) Turn into MHS room 135 by the due date. Incomplete applications will not be considered.
2 NAME PERSONAL INFORMATION Name Birth Date Age Home Phone Home Address School Choice: College or Technical School you are planning to attend 1 st Choice 2 nd Choice College Major Occupation Goal FAMILY INFORMATION Include information on both biological parents even if the student is residing with only one parent. If the parent is deceased or location is unknown please indicate. Father s Name Address Occupation Employer Mother s Name Address Occupation Employer ACADEMIC INFORMATION You do not have to provide a transcript; we will request your transcript from the registrar and attach to your application. SAT: CR Math Writing Essay Total ACT: Math Reading Essay Composite
3 NAME FINANCIAL INFORMATION FAFSA EFC (Estimated Family Contribution): o You must provide a printout of your EFC from the FAFSA website and include with your application. Do not submit entire FAFSA. Household Annual Gross Income: Student s Annual Gross Income: Number of children at home: Ages: Number of family members in college next year: I choose not to provide the Financial Information requested above and understand that as a result, that I may not be eligible for need-based scholarships. SPECIAL CONSIDERATION: If there are special circumstances that influence the ability to pay for college please provide a brief explanation on a separate page immediately following this page. OTHER: Have you ever participated in any Boys and Girls Club activities? Yes No Have you ever lived in Foster Care? Have you ever been considered homeless? Yes No Yes No ***We certify that all the statements in this application are true to the best of our knowledge. We understand that in order to receive any scholarship award, the student and parent/guardian must complete and sign a contract, and the student must write a thank you to the scholarship donor(s). Student Signature Date Parent Signature Date
4 Name ACTIVITY CHART A copy of the OSAC ( activities chart will be accepted A. School/ Family / Community Activities Dates from - to Time Spent Hours per Week / Month Total Hours Responsibility / Accomplishments B. Volunteer Service C. Work for Pay
5 Personal Statements: WORD LIMIT IS APPROXIMATELY 150 WORDS (1,000 CHARACTERS) 1: Explain your career aspirations and your educational plan to meet these goals. 2. Explain how you have helped your family or made your community a better place to live. Please provide specific examples.
6 Personal Statements: WORD LIMIT IS APPROXIMATELY 150 WORDS (1,000 CHARACTERS) 3. Describe a personal accomplishment and the strengths and skills you used to achieve it. 4. Describe a significant change or experience that has occurred in your life. How did you respond and what did you learn about yourself?
7 THE FOLLOWING MHS LOCAL SCHOLARSHIPS HAVE ADDITIONAL REQUIREMENTS THAT MUST BE MET IN ORDER TO BE CONSIDERED FOR THESE SCHOLARSHIPS Include this page and provide the additional information requested only if you are applying for these scholarships. o Marshfield Vocational/Technical Scholarship. These scholarships are awarded to students planning to advance his/her education and training in skills needed for a career in a vocational or technical trade that requires a certificate or an associate s degree. For example: apprenticeships, auto technician, truck driving school, EMT, welding, cosmetology, medical assistant, culinary arts, etc. Students pursuing a bachelor s degree do not qualify for these scholarships. Selection criteria include: Motivation Leadership Involvement in school/community activities and service Financial need is a consideration The committee will pay particular attention to the applicant s goals and plans for achieving them in the personal statement, question #1. Please be specific as possible. One reference from a teacher or an adult mentor is required. The recommendation forms are available online. Applicant must complete an interview with members of the voc/tech scholarship committee, which will be scheduled in the spring by the committee. Please list the person you have asked to complete a recommendation: Name: Phone o Jason Forrester Memorial Scholarship. This scholarship honors the memory of Jason Forrester, a former MHS Student. One award of $ Selection criteria include: Lettering in a competitive sport Good moral character Demonstrated leadership Minimum 3.00 GPA The committee will pay particular attention to the applicant s goals and plans for achieving them in the personal statement, question #1. Please be specific as possible. Two references from adults in the community are required to be considered. One recommendation may come from a Coos Bay School District staff member, the other must be an outside community member. The recommendation forms are available online. Please list the people you have asked to complete recommendations: Name: Phone Name: Phone
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