Arlington Boys & Girls Club Scholarship Awards Program 2018

Candidate Application – please return to Club by Friday March23rd

The Arlington Boys & Girls Club is pleased to be able to offer scholarships to current and past members seeking to continue their education beyond high school. This application is our gauge of general need and merit. PLEASE TAKE CARE IN ANSWERING ALL QUESTIONSACCURATELY AND COMPLETELY. Please note that you can apply each year for a scholarship but can only be awarded money twice. This allows a broader spectrum of program beneficiaries.

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Name(First, Middle Initial, Last)Telephone

Address(#, street, apt.)

Address(city, state, zip)Date of Birth (MM/DD/YYYY)

STATEMENT OF NEED

Recognizing that there are others in the community with greater or lesser need than yourself, and based on your overall financial position in relation to the cost of your intended education, please rank your need for this scholarship as follows: Please circle one number with “1” being the lowest level of need and “5” being the highest. This answer will not be the sole determinant in selecting candidates.

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HIGH SCHOOL

Name of High SchoolYear of Graduation

City, State

Academic Honors, Awards, etc

INTENDED OR CURRENT POST-SECONDARY STUDY

YN

Name of SchoolAccepted?

City, State

Course(s) of Study

Academic Honors, Awards, etc

Student will live: on campusoff campuscommute

Student will enroll: full-timehalf-time or moreless than half-time

Please provide complete and concise answers to the next four questions. If necessary, one additional sheet of paper, one-sided only can be submitted with this application to continue your answers.

1) Briefly describe any current or past connection with the Arlington Boys & Girls Club.

2)Briefly describe your community service over the past four years, including your total

number of service hours.

3) Briefly describe your work history over the last four years.

4) Briefly describe your career aspirations.

By signing this application, I confirm that I have answered all questions to the best of my ability.

I confirm that I will use this scholarship money awarded to me to pursue the post-secondary study listed on the face of this application.

Signature: ______Date: ______