Bedford Women s Club Scholarship Application High School Senior The Bedford Women's Club is pleased to offer scholarships to high school seniors who are residents of Bedford, New Hampshire. The enclosed application form may be used to make additional copies. The application form is also available at high schools Bedford students attend. Scholarships are intended for high school seniors who are residents of Bedford, New Hampshire. The completed application form, transcripts and letters of recommendation must be received by April 1st. The Bedford Women's Club Scholarship Committee reviews all applications without knowledge of the applicant's name or address. Scholarships are awarded directly to the student when proof of college enrollment is provided. For further information, please contact the Chairperson listed under Scholarship Committee on our website at: http://www.bedfordwomensclub.org/committees.html
Bedford Women s Club Scholarship Application High School Senior Date of Application Name Address Bedford, NH 03110 Current School To what colleges have you applied? Where have you been accepted and/or plan to attend? Do you have a relative who is a member of the Bedford Women s Club? If yes, her name and relationship The criteria for this award include scholarship, personal statement, school extracurricular activities and service, community activities and service, financial need and letters of recommendation.
Page 2 Name I. Personal Statement: Attach a personal statement describing your goals for your education and your future. Include any additional information that would be helpful to the scholarship selection committee (600-word limit). II. School Extracurricular Activities: List school extracurricular activities, grade level of participation, leadership positions and recognitions, awards or honors received. III. School Service: List school services, grade level of participation, leadership positions and recognitions, awards or honors received.
Page 3 Name IV. Community Activities and Service: List community activities and service, grade level of participation, leadership positions and recognitions, awards or honors received. The information provided is correct to the best of my knowledge. Signature of applicant Date
Page 4 Name Parent/Guardian complete the following. All information will be held in strict confidence. V. Financial Statement: Estimate the expenses for the applicant s freshman year of college: Tuition Room/Board Fees/Books/Supplies Transportation Other (Specify) Total To meet these expenses, estimate the amount the applicant will receive: Family Student Earnings Student Savings Scholarships/Grants Financial Aid Government/Bank Loans Other (Specify) Total Occupation of applicant s parent(s)/guardian(s) List the age of all dependents including the applicant. How many dependents are currently in college/post secondary education? Describe any circumstances that would be helpful to the scholarship selection committee. The information provided is correct to the best of my knowledge. Signature of Parent/Guardian Date
Page 5 Name VI. Letters of Recommendation: Include two letters of recommendation with this application or send to the address listed below. VII. Scholarship School Guidance Counselor complete the following: Applicant s GPA Class Rank SAT Critical Reading SAT Math SAT Writing* Combined score On the writing test, what was the essay score out of the 12 points possible? On the writing test, what was the multiple choice score? Enclose an official transcript. Signature of Guidance Counselor Date This completed application form, transcript and letters of recommendation must be received by April 1. Mail completed application to: Bedford Women s Club Attention: Corresponding Secretary P.O. Box 10015 Bedford, NH 03110