The Zonta Club of Findlay 2017 Scholarship Application

This completed application and all required information must be in the hands of the Zonta scholarship chairperson, listed on page three of this application, on or before Friday, April 21, 2017. This application may also be downloaded from our website at .

Please note a change to our scholarship application rules: only graduating high school seniors may apply for this scholarship. It is no longer available to previous winners and is not renewable for four (4) years.

If you have any questions please contact Deborah Bartlett at or 419-422-1684.

Part 1: Applicant Information – To be completed by student (Please type)

Name ______

Permanent Address ______

Date of Birth ______Email ______

Home Phone ______Cell Phone ______

High School ______Graduation Date ______

Part 2: Family Information

Father/Stepfather/Guardian

Name ______Occupation /Employer______

Address ______Day Phone ______

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Mother/Stepmother/Guardian

Name ______Occupation /Employer______

Address ______Day Phone ______

Please list name and ages of any siblings and if they are currently attending college.

Part 3: College/University Information

Institutions to which you’ve applied and indicate which one you’ll be attending.

Institution ______

Accepted - Yes _____ No _____ Pending _____Yearly Tuition ______

Institution ______

Accepted - Yes _____ No ______Pending _____ Yearly Tuition ______

Additional Scholarships for which you’ve applied

______Awarded - Yes _____ No _____

______Awarded – Yes _____ No _____

What major /career are you considering and what made you consider this field? ______

______

______

______

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Part 4: Activities

List the activities below in which you have participated during high school and indicate the years you participated. List school, community, employment and leadership positions.

Activity FR SO JR SR

  1. ______
  2. ______
  3. ______
  4. ______
  5. ______
  6. ______
  7. ______
  8. ______
  9. ______
  10. ______

Part 5: Transcript and recommendation mustbe included with this application

  1. Transcript of high school grades
  2. One recommendation from a teacher or unrelated person

I authorize the Zonta Scholarship Committee to contact my high school or above listed reference for any additional information deemed necessary.

Signature of Applicant ______Date______

Please send this completed application along with a transcript and recommendation to be received in the hands of the Scholarship Chairman (Deborah K. Bartlett, 820 North Hill Trail, Findlay, OH 45840) on or beforeFriday, April 21, 2017. Late or incomplete applications will not be accepted

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Part 5: Career Goals

In essay form (typed), please respond to the question “What are your career goals and how do you plan to achieve them?”

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