Alliance @ Benson
SCHOLARSHIP APPLICATION
(Due Friday, May 10, 2013)
Name:
Address:
City: State: Zip:
Home Telephone: Birth Date:
Cell Telephone: Email Address:
Middle school/s attended:
High Schools attended: (Give location if outside of Portland)
9th Grade:
10th Grade:
11th Grade:
12th Grade:
List colleges or training programs you have applied to for next year, and responses:
Institution City/State Response?
I, (print your name) wish to apply for the Alliance @ Benson Scholarship. My application information is true and complete as well as I know. My signature also means that I agree that the committee may get a copy of my transcript and test scores from the school office if they need this information to decide on the award.
Should I fail to use this scholarship by the Winter Term following the year it was awarded to me, I realize the scholarship may not be available.
Signature: Date:
Please respond to the following in the form of a typed essay:
(Your essay should be at least a couple of pages.)
Your essay should address the following topic:
· Some starting points for you might include the following:
o What have you learned?
o What are you proud of?
o What obstacles have you overcome?
o Who has helped and supported you during this time?
o What would you like to say to those people?
· What did you like about Alliance @ Benson? Why did you come here and how has it helped you accomplish the goal of receiving your high school diploma?
· What are your future goals now that you are going to graduate? What vocational program or college/university
do you plan on attending?
· Why do you need this scholarship?
· Are you involved in any activities outside of school? What interests or hobbies do you have?
· What guarantees can you give us that you will use this scholarship if it is awarded to you? If you are not 90% sure you will be attending school in the Fall, please do not apply.
Make sure your name is on your paperwork and give it to Cathy.