2013 MHS Local Scholarship Application

Only students enrolled in the Coos Bay School District

who plan to receive a diploma in 2013 may apply.

To maximize success and ensure a uniform presentation to

the Scholarship Committee, students should complete the

application available on the Marshfield High School website.

The application is formatted in Microsoft Word.

Any student who has difficulty completing the application

in this format (.doc) should contact Mrs. Jennifer Bunnell.

Some scholarships have specific requirements and require that additional information be submitted.

Check Page #6 for specific guidelines and submit any additional material.

Remember, neatness counts! Your completed application will be photocopied and distributed

to the various selection committees who choose the scholarship recipients.

The Scholarship Committee, a dedicated group of community volunteers, will decide the scholarships for which you qualify. The list of scholarships is available on the website.
Scholarships will be awarded at the Scholarship Assembly and the Senior Awards Dessert in the spring.

Application Checklist

Application must conform to the following guidelines, or it will not be considered.

Before you turn in your completed application, review the checklist below

to be sure that your application will have the best chance for success.

DOWNLOAD the online application and save it to a flashdrive or desktop.

COMPLETE and PRINT application.

Parent/Guardian and Student MUST SIGN the application.

PROOFREAD carefully. Have someone else proofread your application.

Application should be submitted in the following order:

DO NOT INCLUDE THIS INSTRUCTION SHEET

Personal & Academic Information (single page) with Parent/Guardian & Student signatures

Family & Financial Information (single page)

Copy of FAFSA that includes your EFC (single page - label with your name)

Optional - Special Financial Consideration (single page - label with your name)

Activity Chart (single page - #3, OSAC version is also accepted-single page only)

Personal Statements (4 essays –1000 characters (150 words max each), 2 per page

Optional - Jason Forrester or Voc/Tech Scholarships only (Additional Information page)

Staple the entire packet in the upper left hand corner. ONE STAPLE ONLY

Name

DO NOT USE “RETURN KEY” OR THE CHANGE FORMATTING.

Use the tab key to move to the next “form box” (highlighted in gray).

Personal Information

Name:

Birth Date: - - Age: Home Phone: (555) 555-5555

Home Address:

School Choice: College(s) or Technical School you are considering attending

1st choice

2nd choice

College Major(s):

Occupational Goal(s):

Family Information

Include information on both biological parents even if the student is residing with only one parent.

If the location of a parent is unknown or if a parent is deceased please indicate.

Father's Name:

Address:

Occupation: Employer:

Mother's Name:

Address:

Occupation: Employer:

Academic Information

If you took the SAT and/or the ACT, please indicate your score:

You may list the highest score that you received on individual sections from different test dates.

SAT: Critical Reading Math Writing Essay

ACT Composite Math English Essay (optional)

You do not need to request a transcript.

After you turn in your application,

we will request your transcript from the registrar and attach it to this application.

Name

DO NOT USE “RETURN KEY” OR THE CHANGE FORMATTING.

Use the tab key to move to the next “form box” (highlighted in gray).

Financial Information

FAFSA Estimated Family Contribution (EFC):

Please provide a printout of your EFC from the FAFSA website. (EFC=estimated family contribution)

Label the copy with your name.

Household Annual Gross Income:

Student's Annual Gross Income:

Number of Children at Home: Their Ages:

Number of Family Members in College Next Year:

I chose not to provide the Financial Information requested above and understand that as a result,

that I may not be eligible for need-based scholarships.

Special Consideration

If there are special circumstances that influence your ability to pay for college please explain below or insert a separate sheet immediately following this page. Label with your name and as Page 2b.

I have included an additional page with the information requested..

2013 MHS Local Scholarship Application

Have you ever participated in any Boys and Girls Club Activities? Yes No

Have you ever lived in Foster Care? Yes No

Have you ever been considered Homeless? Yes No

Student's Signature: ______Date______

Parent's Signature: ______Date______

Name

ACTIVITY CHART

A copy of the OSAC ( activities chart will be accepted

Dates
from - to / Time Spent /

Responsibility / Accomplishments

Hours per Week / Month / Total Hours
A. School/ Family /
Community Activities
B. Volunteer Service
C. Work for Pay

2013 MHS Local Scholarship Application

Name

DO NOT USE “RETURN KEY” OR THE CHANGE FORMATTING.

Word Limit: 1,000 character limit for each statement. (approximately 150 words)

PERSONAL STATEMENTS:

1)Explain your career aspirations and your educational plan to meet these goals.

2)Explain how you have helped your family or made your community a better place to live. Please provide specific examples.

Name

DO NOT USE “RETURN KEY” OR THE CHANGE FORMATTING.

Word Limit: 1,000 character limit for each statement. (approximately 150 words)

PERSONAL STATEMENTS:

3)Describe a personal accomplishment and the strengths and skills you used to achieve it.

4)Describe a significant change or experience that has occurred in your life. How did you respond and what did you learn about yourself?

Name

THE FOLLOWING MHS LOCAL SCHOLARSHIPS HAVE ADDITIONAL REQUIREMENTS

THAT MUST BE MET IN ORDER TO BE CONSIDERED FOR THESE SCHOLARSHIPS

Include this page and provide additional information requested only if you are applying for these scholarships.

JASON FORRESTER MEMORIAL SCHOLARSHIP –

This scholarship honors the memory of Jason Forrester, a former MHS student. One award of $1500.

Selection criteria include:

Lettering in a competitive sport
Good moral character
Demonstrated leadership
Minimum 3.00 GPA

The committee will pay particular attention to the Applicant’s goals and plans for achieving them in the Personal Statement, Question #1. Please be as specific as possible.

Two references from adults in the community are required.

One recommendation may come from a Coos Bay School District staff member.

The recommendation forms are available in student services..

Reference requested from:

Name: Phone: (555) 555-5555

MARSHFIELD VOCATIONAL/TECHNICAL SCHOLARSHIP

These scholarships are awarded to students planning to advance his/her education and training in skills needed for a career in a vocational or technical trade that requires a certificate or an associate’s degree.

For example: apprenticeships, auto technician, truck driving school, welding, cosmetology, massage therapy, medical assistant, culinary arts, etc.

Students pursuing a bachelor’s degree do not qualify for this specific scholarship.

Selection criteria include:

Motivation
Leadership
Involvement in school/community activities and service
Financial need is a consideration.

The committee will pay particular attention to the Applicant’s goals and plans for achieving them in the Personal Statement, Question #1. Please be as specific as possible.

One reference from a teacher or an adult mentor is required.

The recommendation form is available in student services.

Applicant must complete an interview with a member of the Voc/Tech Scholarship Committee, which will be scheduled in the spring by the committee.

Reference requested from:

Name: Phone: (555) 555-5555