Jessica Romag Memorial Scholarship Application 2013

DEADLINE: Wednesday, April 17, 2013

This scholarship is dedicated to the memory of Jessica Romag, a Poway High School alumnus, who was killed in an auto accident in 2004. Jessica valued her faith, family and friends and participated in leadership activities, church groups and sports with great enthusiasm. She was an excellent student with a sparkling personality, great sense of humor, and kind spirit. The Palomar Council PTA is proud to sponsor this scholarship in the memory of Jessica, who had just completed her junior year at Cal Poly San Luis Obispo before her untimely death. Scholarships in the amount of $500 will be awarded.

Qualifications:

1.  Must be a senior at one of the Poway Unified School District High Schools.

2.  Must be planning to attend a 4-year college in the fall of 2013. Scholarship money will be distributed after the committee has received documentation of fall registration at a 4-year college.

3.  This application must be completed, mailed and postmarked by Wednesday, April 17, 2013. No exceptions.

Rules:

1.  The questions may be answered on a separate piece of paper. Please type your answers and send an electronic copy to . The answers may be written (legibly) if a computer is not accessible.

2.  Please limit your answers to each question to no more than 8 sentences. Applications not adhering to this limit will be disqualified.

3.  In addition to an electronic application, you must mail a postmarked hard copy of your application and additional page of answers (if needed) by Wednesday, April 17, 2013 to:

Jessica Romag Scholarship Committee

c/o Cynthia Iliff-Wright

P.O. Box 426

Poway, CA 92074

For more information or to answer any of your questions, please e-mail Cynthia Iliff at .

Recipients will be announced at the Palomar Council Meeting on June 4, 2013 at 7 p.m.

A copy of this application can also be found at www.palomarcouncil.com/scholarship.htm.


Jessica Romag Memorial Scholarship Application Form

Student Name: ______

Phone Number: ______

Home Address: ______

______

E-mail Address: ______

High School: ______

Please answer the following questions:

1.  Please state which member (or members) of your family YOU have influenced the most and in what ways have YOU made a difference in that person’s life.

2.  Please tell us about the teacher, coach or other mentor, other than a family member, who has had the most influence on your life or your future aspirations.

3.  Describe one of your extracurricular activities and the impact that it has had on you.

4.  What are your educational goals after high school?

5.  Why are you applying for this scholarship?