SENECA PUBLIC HIGH SCHOOL ALUMNI
2010 SCHOLARSHIP APPLICATION
Please Type or Print Clearly
DATE_________________________
APPLICANT’S NAME___________________________________________________
ADDRESS______________________________________________________________
Street/PO Box
City
State
Zip
PARENTS:
________________________________________
Father
________________________________________
Mother
Name of relative who is a Seneca Public High School Graduate and your
relationship to them.
____________________________________________________________________
____________________________________________________________________
Year They Graduated ________________
__________________________________________________
Applicant’s Legal Signature
SENECA PUBLIC HIGH SCHOOL ALUMNI ASSOCIATION
ACADEMIC SCHOLARSHIP
VALUE
May Vary
ELIGIBILITY
1. Must be a Legal-Direct Descendant of a Seneca High School
Graduate
2. May be pursuing any level of Post Secondary Education,
including Postgraduate and Technical School
3. Limited to one scholarship per individual, but non-winners
may reapply
4. Recipient must enroll or continue enrollment in a Post
Secondary Educational Program during the same calendar
year as application
5. Must be of High Moral Standards
SELECTION CRITERIA
Applications will be evaluated using the following criteria,
listed in order of importance:
1. Academics/Awards/Honors---Grade Point Average
ACT/SAT Scores, Class Rank, Scholastic Awards and
Honors Received
2. Need
3. Activities—Involvement in Clubs and Organizations,
Sports and other Activities in the School and the
Community
Completed Applications must be received by April 15, 2010 to be considered. The
winner will be notified by mail and his or her name will be announced at the Annual Alumni
Banquet.
Applications should be sent to:
Mike Boltz
25340 Highway K79
Circleville, KS 66416
REQUIRED: A copy of your enrollment or a letter from your post-secondary
program stating that you have been accepted.
ACADEMICS (as applicable)
______________ GPA (A= 4.00) Grade 9 through 1st Semester of 12th Grade
______________ Class Rank in Class of _________ Students
______________ ACT or SAT Composite Score
________________________________________ Post Secondary or Technical School
you will attend
________________________________________ Major or Vocation you’ll pursue
FINANCIAL NEEDS
$_________________ Estimated savings of Applicant and Parents available for
educational expenses
$_________________ Estimated yearly amount you and your family expect to
contribute to your educational expenses
$_________________ Estimated total yearly cost of the school you plan to attend
In your own handwriting, write a brief statement concerning your educational and
career plans. Include personal or family information which may be useful to the
Selection Committee. Include an extra sheet of paper if more space in required.
EXTRACURRICULAR ACTIVIES: Show years active and offices held
COMMUNITY, CHURCH AND WORK ACTIVITIES: List any non-school
activities and work experiences you are or have been involved with