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NORTH OLMSTED HIGH SCHOOL

“A NATIONALLY RECOGNIZED SCHOOL OF EXCELLENCE”

GENERAL SCHOLARSHIP APPLICATION

Complete this application on-line. When complete, print the number of copies

needed for each scholarship packet you plan to submit.

Name: ______

School: ______

When submitting your scholarship, be sure to attach the

“COVER SHEET” (picked up from the Guidance Office)

for the specific scholarship for which you are applying.

CUMULATIVE GRADE POINT AVERAGE

grade / Cumulative
grade point
average /

for:

9 / Year end
10 / Year end
11 / Year end
12 / Current total

ACTIVITIES

If you have more than one year of the same activity, please place on one line.

School Activities(Please list in chronological order):

Indicate with an * the activity that was part of the SITES program.

Grade
/
SCHOOL activity
/ Office held and honors

Community Activities(Please list in chronological order):

Grade / COMMUNITY SERVICE / office held and honors
Grade / COMMUNITY SERVICE (Cont’d) / office held and honors

Work Experience (Please list in chronological order):

Grade / WORK EXPERIENCE / Length OF EMPLOYMENT AND HONORS

SITES (See Brochure)

wORK sITE lOCATION:
1ST Semester
2nd Semester

COLLEGE

nAME OF COLLEGE / aPPLIED? /

ACCEPTED?

/ MAJOR?
OnLY NEED TO LIST ONCE
__ Yes
__ No / __ Yes
__ No
__ Pending
__ Yes
__ No / __ Yes
__ No
__ Pending
__ Yes
__ No / __ Yes
__ No
__ Pending
__ Yes
__ No / __ Yes
__ No
__ Pending

In the space provided below, please describe your major or field of interest, including where you see yourself in five years.

EXTENUATING CIRCUMSTANCE/ATTENDANCE

If there is an extenuating circumstance/attendance factor we should know about, please state below. Example: an extended illness, an accident, etc.

FAMILY BACKGROUND
nAME
/
oCCUPATION
/ PLACE OF EMPLOYMENT
Father
Mother
Step-parent
Other

SIBLINGS

Name / AGe / living in
your home? / In college at the same time? / Grade/Year
(next year)
__ Yes
__ No / __ Yes
__ No
__ Yes
__ No / __ Yes
__ No
__ Yes
__ No / __ Yes
__ No
__ Yes
__ No / __ Yes
__ No

Please check your answers and submit your application. Attach the following items in the following order:

  1. A personal statement discussing why you want to go to college and how you intend to pay for school. (Please stress any financial circumstances we might need to know.)
  1. If any, an explanation of extenuating circumstances that you may wish to share. This is optional.
  1. An unofficial school transcript.

12/09