Pendleton County Extension Homemakers

PENDLETON COUNTY EXTENSION HOMEMAKERS

SCHOLARSHIP APPLICATION

The Pendleton County Extension Homemakers Association is awarding a $800.00 scholarship to a graduating senior of Pendleton County High School, and mother or grandmother must be a member of the Pendleton County Homemakers by the first of the Extension Homemaker year, (December 1). The scholarship will be made in two payments ($400.00 each semester). It may be applied toward either a bachelor or an associate degree. This scholarship may be applied to a vocational school or another approved institution of higher education.

Any student regardless of race, creed, color, national origin or sex is eligible to apply for this scholarship by supplying the requested information on the application form.

The application should be returned to your high school counselor.

List name of family member who is a member of Pendleton County Homemakers.

______

I. Personal Information

1.  Name______

2. Address______Street or Road City State Zip Code

3. Name of Parent/Guardian ______Phone______

II. Employment Information

List your work experiences:

Job Employer

______

______

______

III. Academic Information

1.  How many in your graduating class? ______Your Rank: ______

2.  What is your grade point average? ______

3.  What special awards or recognition have you won in high school? Use a separate sheet of paper if necessary.

______

______

4. In what school, church or community activities (sports, clubs, etc.) have you participated in during high school?

______

IV. Education Information

1.  What college do you plan to attend? ______

2.  Have you been accepted? ______

3.  What do you plan as your field of study (major)? ______

4.  What do you plan as your future occupation? ______

V. Financial Information

1.  Father______

Name Occupation

2.  Mother______

Name Occupation

3.  Guardian______

Name Occupation

4.  Number of brothers ______sisters ______at home or in college.

5.  What other financial assistance have you applied for? (grants, loans, etc.)

6.  From the above, what, if any, financial assistance have you been awarded? _____

______

7.  Please explain any special circumstances which might have a bearing on the financial support of the student while in college (include items such as unusual medical expenses, other excessive expenses, etc.). Use additional page if needed.

______

Please attach a transcript of your high school grades and 2 letters of reference.