WE GIVE THANKS
Scholarship Application Form
DEADLINE APRIL 16, 2012
Scholarships will be given to graduating high school students living Orange County, California for excellent academic success, outstanding volunteer service, need, and leadership shown in school and in the community
Read all instructions before beginning application.
NAME______
ADDRESS______
CITY______ZIP______
PHONE CELL PHONE______EMAIL______
HIGH SCHOOL YOU ARE ATTENDING______
COLLEGE YOU PLAN TO ATTEND AND MAJOR______
PROFESSIONAL PLANS FOR THE FUTURE______
HIGH SCHOOL COUNSELOR ______
This application must be typed and limited to this form only. It can be scanned as is into a word processor for easy completion.
Complete the following pages spotlighting your community service and school activities in Orange County. Do not attach any additional pages for activities. NO ATTACHMENTS WILL BE CONSIDERED IN THE JUDGING. The committee will not accept anything less than a 10 point font.
Attach financial budget form.
A transcript of you high school work must be included with application.
Include with your application three letters of recommendation from persons (not relatives) who are familiar with you, your community and school activities, and your leadership skills.
MAIL FORM TO: 5239 E. Glen Arbor Anaheim, CA 92807
MUST BE POSTMARKED NO LATER THAN APRIL 16, 2012
1
2011-2012 COMMUNITY SERVICE ACTIVITIES
ACTIVITY
/ ORGANIZATION / HOURS SPENT2
2010-2011 COMMUNITY SERVICE ACTIVITIES
ACTIVITY
/ ORGANIZATION / HOURS SPENT3
2009-2010 COMMUNITY SERVICE ACTIVITIES
ACTIVITY
/ ORGANIZATION / HOURS SPENT4
2008-2009 COMMUNITY SERVICE ACTIVITIES
ACTIVITY
/ ORGANIZATION / HOURS SPENT5
SCHOOL ACTIVITIES
ACTIVITY / 11-12 / 10-
11 / 09-
10 / 08-
09 / SPECIAL AWARD / LEADERSHIP POSITION
6
HIGHER EDUCATION BUDGET
Name of applicant ______
Please take extra care in completing this portion of your scholarship application. We have found that many graduating Senior have very little idea of the actual cost of higher education, even those who have received substantial scholarships and financial aid. Discuss this budget with your school counselor and parents. The Higher Education Budget is to be submitted as part of the application by May 1, 2011.
Annual Estimated School Expense / Estimated Available FundsRegistration fees / $ / Funds on hand
Books and supplies / Estimated annual earnings
Rent or dorm expense / Support from family
Food / Scholarships
Clothing, laundry, and cleaning / Federal and State Financial Aid
Transportation / Loans
Recreation and entertainment / Other
Fixed Payments
Other
Total Annual Expenses / Total Annual Income
Expenses based on what school? ______
Annual 2011 income of family______
Comments:
Printed name
Signature: Date:______
Parent Signature ______
7
Interviews will be used as part of the selection process to determine the final scholarship recipients.
CHECK LIST FOR SCHOLARSHIP APPLICATION. BE SURE TO INCLUDE ALL PAGES INCLUDING REFERENCES, AND TRANSCRIPT WITH COMPLETED APPLICATION FORMS. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED FOR SCHOLARSHIP.
Front page completed
Community Activities pages completed
School Activities page completed
Higher Education Budget completed
Transcript included
Three personal references included
MAIL APPLICATION TO: 5239 E. Glen Arbor LaneAnaheim, CA92807
MUST BE POSTMARKED NO LATER THAN APRIL 16, 2012
WHY DO YOU VOLUNTEER?
If selected as a scholarship recipient, I agree to allow my name and biographical data to be released and to be used in any public association with the award.
I have completed this application honestly and accurately.
I understand that all information provided in connection with this application is subject to verification.
Applicant’s Signature: Date ______