WKTHS Local Scholarship Application

READ before proceeding:

You and your parent will need to complete this application together as both signatures are required before you will be able to submit.

Directions: Complete this application to apply for scholarships awarded by local organizations, institutions, and businesses.

Name Name First Last
Student ID#:
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Select your Program:
Unweighted GPA
Class Rank
Composite SAT Score:
(If you have not taken this test, put N/A or the date you are signed up to take it)
Composite ACT Score:
(If you have not taken this test, put N/A or the date you are signed up to take it)
For this section below, list the top 3 post-secondary institutions in which you have applied in order of preference.

If you have made a decision based on an acceptance, list only that institution.
#1 (list the following in the box provided on separate lines):
Name of Institution:
Intended Major:
Accepted (Y, N, Waiting):
#2 (list the following in the box provided on separate lines):
Name of Institution:
Intended Major:
Accepted (Y, N, Waiting):
#3 (list the following in the box provided on separate lines):
Name of Institution:
Intended Major:
Accepted (Y, N, Waiting):
In the sections below, detail your Advanced Course History, Education & Career Objectives, Certifications and Licensures, Extra-Curricular, Community and Volunteer Activities, Honors & Awards and Student Employment.
COURSE HISTORY
List the Advanced Placement (AP) and Dual Enrollment (DE) course(s) you have taken and the Grade Earned in the course(s).
List each course/grade on separate lines:
(if you have not taken any AP/DE courses, write N/A)
EDUCATION AND CAREER OBJECTIVES
(Briefly describe what you want to pursue after high school in college and how it helps your endeavors towards your future career):
Maximum of 50 words allowed. Currently Entered: 0 words.
CERTIFICATIONS AND LICENSURES
(List any certification or licensures you have obtained?):
If none, put N/A
EXTRA-CURRICULAR ACTIVITIES
List each activity on a separate line and include:
Activity/Club - Position Held - Years Involved
If none, put N/A
COMMUNITY AND VOLUNTEER ACTIVITIES (hours must be listed on transcript)
List each activity on a separate line and include:
Activity/Organization - Hours - Years Involved
If none, put N/A
HONORS AND AWARDS
List each accolade on a separate line and include:
Honors/Award - Date Received
If none, put N/A
STUDENT EMPLOYMENT
List current and past employment(s) here, each on a separate line and include:
Employer - Job Title - Length of Employment
If none, put N/A
REFERENCES

Please provide the name, relationship to you, and contact information for two people that have agreed to write a letter of recommendation for you. If the letters become necessary, they will be requested. If you are requesting a letter of recommendation, please provide the person you are requesting a letter from with a “Brag Sheet”.
Reference #1 Name Reference #1 Name First Last
Reference # 1 Relationship to you
Reference #1 Email address:
Reference #2 Name Reference #2 Name First Last
Reference # 2 Relationship to you
Reference #2 Email address:
AUTOBIOGRAPHICAL ESSAY

Type an Autobiographical Essay in the space below. The essay should be 500-700 words.
The Autobiographical Essay should include the following:
 Paragraph 1: Present (Discuss current education, interests, achievements)
 Paragraph 2: Past (Discuss obstacles you have faced (financial, family, educational, etc). and what motivates you)
 Paragraph 3: Future (What would you like to do in the future, what are your goals and if relevant how has your past and present shaped your goals?)
Must be between 500 and 700 words. Currently Entered: 0 words.
The section below must be signed by the student and the parent verifying that the information reported in this form is complete and accurate.

Also, by signing, both student and parent grant permission to release copies of this form to the local organizations, institutions, businesses, and donors participating in the Wendell Krinn Technical High School Local Scholarship fund.
Student:
By signing below, I verify that everything in this application is true and accurate.
I also grant WKTHS permission to share copies of this information and form to organizations, institutions, businesses, and donors participating in the WKTHS Local Scholarship fund.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent/Guardian:
By signing below, I verify that everything in this application is true and accurate.
I also grant WKTHS permission to share copies of this information and form to organizations, institutions, businesses, and donors participating in the WKTHS Local Scholarship fund.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

WKTHS Local Scholarship Application

WKTHS Local Scholarship Application

For this section below, list the top 3 post-secondary institutions in which you have applied in order of preference. If you have made a decision based on an acceptance, list only that institution.

In the sections below, detail your Advanced Course History, Education & Career Objectives, Certifications and Licensures, Extra-Curricular, Community and Volunteer Activities, Honors & Awards and Student Employment.

AUTOBIOGRAPHICAL ESSAY

For this section below, list the top 3 post-secondary institutions in which you have applied in order of preference.

If you have made a decision based on an acceptance, list only that institution.