Sontag Family Scholarship Application

2018 Application Form

Please print legibly or type:

Date of Application: ______

Name of applicant: ______SSN #______

LAST FIRST MIDDLE

Mailing address: ______

City: ______Zip: ______Home phone: ______Cell phone:______

Email Address: ______Are you a legal resident of the U.S.A.? ____

Name of guardians: ______

Address of guardians: ______

Occupation of guardians: ______

State amount of financial assistance you will receive from guardians or others during the college/trade school year(s): ______

Will you live at home? Yes [ ] No [ ] If not, where? ______

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Plan to work while attending college? Yes [ ] No [ ] If yes, how many hours? ______

Are you currently working? Yes [ ] No [ ] If yes, how many hours per week? ______

Work experience in which you have engaged, giving approximate periods, dates, and employer names.

Employer / Dates / Periods / Position(s)

Community or School activities in the last three years. Please list all extracurricular activities, such as volunteer work for Gilroy Garlic Festival, clubs, athletic participation, etc.

Organization / Dates / Extracurricular Activities

High School – Please indicate name of school, dates of attendance and cumulative GPA.

Name of High School(s) / Dates / Cumulative GPA

What college or school do you plan to attend? ______

What colleges or schools have you been accepted to?______

What will be your major? ______

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List four (4) references: Two (2) may be high school staff members; please NO relatives.

Name(s) / Address

PERSONAL STATEMENT: On a separate sheet, please provide a typed one-page essay about yourself explaining your educational objective and future career goals. Be sure to indicate your talent, skills, community involvement, volunteer work, personal challenges, etc. and why you are deserving of this scholarship.

Completed application must include the following enclosures in addition to the Personal Statement:

  • One copy of student’s official transcript, sealed
  • Two Letters of Recommendation from another school staff, employer, or volunteer supervisor, sealed

SCHOLARSHIP APPLICATION DEADLINE:

Applications must be postmarked by

Friday, March 2, 2018and mailed to:

Gilroy Foundation

Scholarship Application

P.O. Box 774

Gilroy, Ca 95021

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