ࡱ> LNKe J bjbj 4JebebJ22222FFFFTTFd#l"""""""$$' #2 #22#ggg22"g"gg:[!,!/T ! "4#0d#!R\(\(!\(2!g # #d#\(B : Lenape High School Senior Scholarships Application 2021 Any senior who wishes to be considered for local scholarship awards presented at graduation must fill out this Lenape local scholarship application. Some scholarships are financial need based, some are not. Most have criteria based on residency, major, GPA, and other qualifications. Please fill out the application as accurately and completely as possible. Completed applications can be mailed back to school or the students may return them to Mr. Rich Jacobs in the Counseling Center. They must be completed and returned by April 1, 2021. GENERAL DIRECTIONS Please read the entire application before completing it. Be sure you understand what information is requested and make the application legible. Make sure all items on application are completed and check before turning application in. Essay Requirement Type a one page or less essay explaining why you should be considered for an award/scholarship. Please explain why you feel you should receive scholarship consideration and any special circumstances to be considered. This essay is very important to the application process. Your application will be considered INCOMPLETE without this essay. SCHOLARSHIP APPLICATION DEMOGRAPHIC/FINANCIAL INFORMATION Name: ________________________________________________________________ Home Address: ________________________________________________________ ________________________________________________________ Phone: _____________________________ Birthdate: ________________________ Who do you currently live with? (Circle one. If foster parent or guardian explain below.) Both parents Mother Father Foster Parent Guardian Fathers occupation/place of employment/yearly income: ____________________________________ Mothers occupation/place of employment/yearly income: ___________________________________ Gross family income (combined): _____________________________________________ Comments (extraordinary expenses/parental ability pay for college/etc.): Family Members: Please include all siblings/dependents in household. Name: _________________________Age:____ Grade in school/college: ____________ Cost (if in college): __________________ Name: _________________________Age:____ Grade in school/college: ____________ Cost (if in college): __________________ Name: _________________________Age:____ Grade in school/college: ____________ Cost (if in college): __________________ Name: _________________________Age:____ Grade in school/college: ____________ Cost (if in college): __________________ MOUNT LAUREL SCHOOLS ATTENDED SECTION Please check the Mount Laurel schools that you attended and the number of years at each. _______Parkway ______Hartford _______Hillside ______Harrington _______Countryside _______Fleetwood _______Larchmont _______Springville ACTIVITIES SECTION Please list all sports/clubs you participated in at Lenape and which school years. Use additional sheets if necessary. LENAPE ACTIVITY YEARS OFFICE/HONORS Please list all sports/clubs you participated in at outside of Lenape and which school years. Use additional sheets if necessary. OUTSIDE ACTIVITY YEARS OFFICE/HONORS Please list your community service involvement during years at Lenape. Use additional sheets if necessary. SERVICE ACTIVITY DATES TOTAL HOURS Please list your work experience. Use additional sheets if necessary. EMPLOYER DATES HOURS PER WEEK COLLEGE SECTION What college will you attend? ______________________________________________________________ What is the cost of the college? _____________________________________________________________ What is your major? _______________________________________________________________________ What career will you pursue after college? __________________________________________________ Do you plan on earning an advanced degree after college? In what field (i.e. medical/law/Ph.D)? How will you pay for college? ______________________________________________________________ Total amount of scholarships or non-loan awards from the school. Please specify if scholarship is sport or academic related. Scholarship: _____________________________________ Grant: ___________________________________________ PARENTAL SIGNATURES AND CERTIFICATIONS SECTION I certify that all statements contained in this application are true and correct, and that I believe myself eligible to apply for a local scholarship. I also acknowledge my transcript will be reviewed by the selection committee. The applicant understands that the Scholarship Committee reserves the right to withdraw a scholarship if it is found that the information requested is falsified or withheld. Students signature: __________________________________________________________________ Date: ________________________________________________________________________________ This application meets my approval: Parents signature: ____________________________________________________________________ Date: _________________________________________________________________________________ RELEASE OF TRANSCRIPT/INFORMATION PERMISSION TO TRANSMIT PUPIL RECORDS TO/FROM LENAPE HIGH SCHOOL There are several outside organizations who use the Lenape High School Scholarship Application to award scholarships to Lenape students. If you would like these organizations to review this application and student transcript, please complete the following section. I, as parent or guardian of_______________________________________request that this school forward as indicated the pupil records of the above. I wish to have the student transcript and this application forwarded as indicated. 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