Groton Scholarship Fund, Inc

Groton Scholarship Fund, Inc.

C/O FitchSenior High School

101 Groton Long Point Rd.

Groton, CT 06340

SCHOLARSHIP APPLICATION - 2014

It is IMPORTANT to COMPLETE ALL PARTS of this application.

THIS MUST BE RETURNED TO THE GUIDANCE OFFICE BY MARCH 8TH, 2014

Applications received after the deadline will not be considered.

Scholarships are awarded based on any of the following:

1. Academic achievement

2. Special areas of interest, such as math, engineering, music, education, military service,

history, etc.

3. Financial need

4. Contribution to school and community including work experience.

Complete this application in its entirety so proper consideration for all awards may be made.

Type your name in the header section or write on each page. If more space is needed,

tab to the next column in the table or write on additional pages.

PLEASE TYPE OR PRINT

Student’s Name (Print): ______

FAMILY/FINANCIAL INFORMATION

* This information is required to determine financial need.

Student’s Name (Print): ______

SCHOOL AND COMMUNITY ACTIVITIES

1(A)List your school activities (including sports, clubs, yearbook, etc.)

Put a check against each year in high school you participated.

1(B)List any awards received (including academic, sports and other activities).

2.What activities do you have while not in school? Include community, volunteer activities, employment, etc. that you have been involved in. Be as specific as possible. Example: Volunteered for Special Olympics, YR 9; 60 Hrs. Please list approximate hours PER YEAR for each activity. It is important you list your hours by year AND total these hours in the Total Hours column. In the Total of ALL Activities field, enter the sum of the Total Hours column.

Student’s Name (Print): ______

ADDITIONAL INFORMATION

1. Are you a dependent of a member of the United States Armed Forces (active, retired, or deceased)?

2. Please put an X next to all Groton Schools you attended:

3.Are you or someone in your family a member of the International Association of Firefighters?

If yes, please answer the following:

4. Is someone in your family a member of a fire department?

If yes, please answer the following:

5. How many IB courses have you taken?

6. How many Advanced Placement courses?

7. Do you anticipate receiving an IB Diploma?

Student’s Name (Print): ______

ESSAY

In Your Words –attach a typed essay (double spaced / 1 page)

Kindly explain why you feel deserving of a scholarship from the Groton Scholarship Fund.

Application should include download of SAT/ACT scores and verification of your Estimated Family Contribution(EFC) listed on the Student Aid Report (SAR).

STUDENT and PARENT/GUARDIAN CONSENT SECTION

I certify that this application represents, to the best of my knowledge, the facts, as I know them. We give our permission to Fitch High School to include a copy of my transcript with this application to be reviewed by the Groton Scholarship Committee.

Important note: All information submitted to the Groton Scholarship Fund is used for scholarship award determination. No information is shared with a third party and is properly destroyed.

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