Wabaunsee High School Scholarship Application

2010 Wabaunsee High School Scholarship Application Application Deadline EXTENDED: APRIL 1, 2010
SECTION I A. PERSONAL INFORMATION
Student’s Full Name:
Parent/Guardian Name(s):
Address:
City, State and Zip:
E-mail address:
Phone number:

B. HIGH SCHOOL INFORMATION
GPA:
ACT:
Class Rank:
Number of students in senior class:
Counselor's Name:

C. POST-SECONDARY INFORMATION Proposed Post-Secondary Program of Study/Major: Proposed Post-Secondary School #1 (school name): Proposed Post-Secondary School #2 (school name):
D. LIST THREE REFERENCES
First Reference
Name:
Address:
City, State and Zip
Phone number:
E-mail Address:
Position:
Relationship to student:
Second Reference
Name:
Address:
City, State and Zip
Phone number:
E-mail Address:
Position:
Relationship to student:
Third Reference
Name:
Address:
City, State and Zip
Phone number:
E-mail Address:
Position:
Relationship to student:
E. ACTIVITIES SUMMARY Please upload a Microsoft Word document or Adobe PDF that lists your academic honors, awards, extracurricular activities, community service, and work experiences that relate directly to the scholarship(s) for which you are applying. With each activity, provide the date(s) you were involved and any leadership roles you held. Also explain why you are choosing your proposed field of study/major. Please make sure your name is on the document. Click the "Browse" button to locate your Activities Summary on your computer.
F. CHECK BOX NEXT TO EACH SCHOLARSHIP FOR WHICH YOU ARE APPLYING (Click here for more information about each scholarship, including criteria, award amounts, etc.)

	R-Tech Tool & Machine Scholarship *
	Wamego City Hospital Scholarship
	Wamego Telephone Company Scholarship *
*Financial need information is required; please complete Section II, below

SECTION II FINANCIAL NEED INFORMATION (All financial information will remain confidential) If you are not applying for a scholarship in which financial need is a consideration, you may skip this section and submit your application using the button at the end of the page. 1. How much do you estimate your first year of college or training will cost?
Tuition:
Books:
Room and Board:
Other:
2. What is the most recent adjusted gross income of family?
3. How many persons are dependent on the family income?

4. Are there personal or family health issues or other circumstances that pose a financial burden?
If so, please explain:

NOTICE! PLEASE DO NOT PRESS THE SUBMIT APPLICATION BUTTON BELOW MORE THAN ONCE, AS IT MAKE TAKE A WHILE FOR YOUR APPLICATION TO GO THROUGH. You will receive confirmation when the application has beeen successfully submitted.

ALSO, DO NOT SUBMIT YOUR APPLICATION UNLESS/UNTIL
THE FORM IS COMPLETELY FILLED OUT AND ALL YOUR ATTACHMENTS HAVE BEEN UPLOADED;
OTHERWISE, YOU ARE SUBMITTING AN INCOMPLETE APPLICATION TO YOUR HIGH SCHOOL COUNSELOR AND THE WAMEGO COMMUNITY FOUNDATION. Thank you!