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