Student Name: __________________________________________
2016 Capital High School Foundation Scholarship Application
The Capital High School Foundation oversees approximately 40 different scholarships. Submitting one application will allow you to
compete for several different scholarships. Scholarship award criteria may vary. Most are based on financial need. Others are based
on academic performance, athletic achievement, leadership, career goals, club involvement, and/or community service. Scholarship
award amounts range from $500-$2000 and ONE scholarship is available for a FULL TWO YEAR tuition waiver from SPSCC.
Seniors planning to attend a 4 year, 2 year technical, 2 year community college or any accredited program in the United States may
apply.
You must have a FAFSA completed to apply for these scholarships. Attach your Student Aid Report you received from FAFSA.org. If
you do not know how to access this report you may visit: http://www.finaid.org/fafsa/efc.phtml
No handwritten applications will be accepted; computers in the library or Career Center are available for your use. Download
application from the CHS website & type directly into the application.
Information including financial status and transcript information on your application will be shared with members of the selection
committee and with outside community organizations that sponsor specific scholarships. This information will be treated very
respectfully and not go beyond those members for use in selection.
Please complete this application and return a PRINTED copy to the CHS Career Center by
Tuesday, April 26th, no later than 2:30 pm.
Questions should be directed to Cougar Career Center 360-596-8041.
Make sure your completed application includes the following:
Signature page 1
Applicant Information
Financial Statement & Income Information
FAFSA Student Aid Report attached
Attach Resume (Clubs ---Sports --- Leadership Positions --- Honors/Awards --- Employment/Work Study/Internship)
Community Service Chart
Attach Essay – 500 words minimum
Attach Minimum of one letter of recommendation from a high school teacher, coach, employer,
advisor, or community member (school counselor letters will not be accepted, as they are part of
the selection committee).
I hereby give permission for the Olympia School District to verify and share my son/daughters information for the
purpose of eligibility for the Capital High School Foundation Scholarships.
*501c3 non profit organization
__________________________________________
Parent/Guardian Signature
______________________________________
Parent/Guardian Name (print)
__________________________________________
Student Signature
________________________
Date
Page 1 of 3
Student Name: __________________________________________
Applicant Information
First
Middle
Last
Home Address
Home Phone:
Cell Phone:
Email
Parent/Guardian Name
List all accredited schools or technical programs you have applied to:
Planned Course of Study/Major/Career Cluster:
SAT Score
ACT Score
FAFSA Attached
YES
or
NO
(please include reason)
Financial Statement & Income Information
Number of siblings living
at home:
Number of siblings in
college:
Approximate family yearly gross income:
$ __________
Validated by parent initials: ______________
List below other scholarships you have applied for:
Scholarship Name
Amount
Merit based/Financial Need based
Date Awarded/to be awarded/not awarded
-
This area is reserved for SPECIAL FINANCIAL CIRCUMSTANCES to be considered by the scholarship committee. Please
ip Name Amount --------------------Date: Awarded/TO BE Awarded/Did not receive
explain any special circumstances here:
Page 2 of 3
Student Name: __________________________________________
Resume
Attach your UPDATED & COMPLETED resume to this document.
Please confirm all high school activities, off campus activities,
leadership positions and over the past four years. Be sure to include:
Clubs ---Sports --- Leadership Positions --- Honors/Awards --- Employment/Work Study/Internship
Community Service
Dates
List all activities & hours served in the same format below:
Organization
Activity Performed
Supervisor Contact
Hours Served
1/14-6/14
CYS
4/week x 20 weeks = 80
Assisted in office filing
Marty Sherman
*Attach additional pages if necessary
TOTAL
Total Community Service Hours
Essay - ON A SEPARATE PAGE PLEASE.
Must be typed using 12 point plain font. 500 words minimum – (a full page is not uncommon)
Please complete a 500 word or more essay detailing the following information: *This is the portion of the application reviewed by
numerous individuals whom may or may not know you and your plan. It is important to utilize this opportunity to share what it
would mean to you to receive this scholarship. Please note this section of the application is worth the most points when selecting
recipients.
1. Your future educational goals & career plans? - how does this pathway help set your goals for the
future.
2. A financial statement detailing your thoughts on how receiving this scholarship will impact your
ability to attend a post-secondary school.
3. Any additional information you would like to share with the Scholarship Committee.
For staff use only:
IB
RS
NMSC
GPA
Adverse
SPSCC
Key
Top
Teach in WA
C Community
C Real/Lend
C Law
Track
CTE
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