Montclair High School Alumni Association
Self-Nomination Form:
MHS Alumni Award
This scholarship is awarded to a senior whose enthusiasm, spirit and pride in Montclair
High School serve to enrich the longstanding sense of tradition for which Montclair High
School is known.
 senior should plan to pursue their education
 scholarship is merit based; financial need is not a consideration
 scholarship is a one-time, $1000.00 award, payable directly to the student
 race, creed and sex will have no bearing on the choice of the recipient
Name: ____________________________________________________
I would like to be considered for the MHS Alumni Award. I have read the criteria and
think that I meet the requirements for this scholarship.
Signature:
Date:
_____________________________________________
_____________________________________________
I have read the criteria and think that my child meets the requirement for this scholarship.
Parent/Guardian signature:
______________________________________
DEADLINE FOR SUBMISSION: FRIDAY, MARCH 19, 2010
PLEASE PLACE FORMS IN THE BOX IN THE MAIN OFFICE
APPROXIMATELY 10 STUDENTS WILL BE SELECTED FOR INTERVIEWS. ONE
STUDENT WILL BE SELECTED TO RECEIVE THE AWARD. SUBMITTING A
FORM DOES NOT GUARANTEE THAT THE STUDENT WILL BE SELECTED FOR
AN INTERVIEW WITH THE SCHOLARSHIP COMMITTEE.