Scholarship Application

AWC Center for Quality Communities Scholarship Fund

Application form 2017

Please type or print. Illegible or incomplete applications will be returned.

*
First Name : Last name :
Mailing Address*
Street/P.O. Box City State / Province / Region ZIP / Postal Code
Best phone number to reach you :*
Email:*
Current High School:*
If home schooled, please check box
If GED, please indicate date received:
Number of years attended:*
Please enter a number from 1 to 10.
Have you been accepted into an accredited post-secondary program or collefe for the fall of 2017 as of this submission?*
- Yes
- No
If yes, please provide institution name(s):*
If not, please indicate the name of the institution(s) you plan to attend:*
Proof of student enrollment from the school is requried prior to the release of funds.
Career goal (please be specific)*
Name and address of parent(s) or legal guardian(s)
Name(s)*
Address*
Street City State ZIP
Primary phone of parents of legal guardians:*
Please describe your financial need. Include any financial aid you will receive and/or any circumstances that would help the committee understand you financial situation.*
List your city, community and civic involvement activities. (No additional materials will be accepted)*
List your school involvement and academic honors and awards. (No additional materials will be accepted)*
Personal essay.*
On a separate pieceof paper please write a concise response to the following question. Please submit your answer in Arial or Times New Roman 12 point font, double-space, and limit the length to two pages.
Applicant checklist (send completed application packet to city for consideration):
Note:
- Must be in good academic standing
- Must plan to graduate spring/summer 2017
- Completed application including essay
- Letter of recommendation (from a non relative) This is seperate from the recommendation letter from the city
- Completed and signed release form
Statement of Accuracy*
- I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also conset that my picture maybe taken and used for any purpose demeed necessary to promote the Center's scholarship program.
*
- I hereby understand that if chosen as a scholarship winner, I must provide evidence of enrollment/registration at an accredited post-secondary institution of my choice before scholarship funds can be awarded.

AWC Center for Quality Communities Scholarship Fund

Application form 2017

Name and address of parent(s) or legal guardian(s)