ALAN B. SHEPARD HIGH SCHOOL
UNIVERSAL SCHOLARSHIP APPLICATION DATA FORM
NAME:Click here to enter text.ID# Click here to enter text.
CLASS RANK: Click here to enter text.G.P.A. Click here to enter text.
ACT SCORE: Click here to enter text. SAT SCORE: Click here to enter text.
Indicate the following about parents/guardians with whom you live:
Name of father/step father: Click here to enter text. Name of mother/stepmother: Click here to enter text.
Occupation: Click here to enter text. Occupation: Click here to enter text.
Employment status
Father: full-time ( ) part-time ( ) not employed ( )
Mother: full-time ( ) part-time ( ) not employed ( )
Do you qualify for a free & reducedlunch? Click here to enter text.
Current vocational/military/college choices:
- Click here to enter text.
- Click here to enter text.
- Click here to enter text.
- Click here to enter text.
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College Major:Click here to enter text.
Approximate salary, wages or other income:
Father Click here to enter text. Mother Click here to enter text. Applicant Click here to enter text.
Do you or your parents/guardians receive income from any of the following sources?
Social Security-yes ( ) no ( ) Veterans benefits-yes ( ) no ( )
Welfare-yes ( ) no( ) Unemployment- yes( ) no( )
Application continues on next page
In addition to this application, please include the following documentation:
Student resume (including achievements, volunteer and community service and educational goals)
One letter of reference/recommendation
Any other pertinent information demonstrating your financial need for those scholarships that give preference to students with financial need
Name 3 characteristics that a teacher or friends would use to describe you
In 300 typed words or less, please describe an experience that you have had here at Shepard and describe the importance of that event in terms of changing the person you are. (Use a separate sheet of paper and DO NOT INCLUDE YOUR NAME.)