APPLICATION FOR SCHOLARSHIP
Sheehan Family Trust Scholarship
c/o Harry B. Heller, Trustee
736 Norwich-New London Turnpike, Uncasville, Connecticut 06382
Two $5,000 scholarships are being offered for MHS Seniors intending to further their education
in the field of humanities (such as history, law, literature, performing and visual arts, philosophy,
language, or religion). Important factors are character, scholastic records, and significant financial
need.
Applications are available from Mrs. Bedard, Director of School Counseling, Mrs. Ingoglia in
the Career Center or downloadable from Naviance.
Three letters of recommendation are required (two from teachers) along with an essay and
financial need statement.
All materials are due to Mrs. Bedard no later than March 11, 2016.
PART 1. PERSONAL DATA (complete all items)
Last Name:
First Name:
Middle:
Address:
(number and street)
City:
Telephone:
(apt. number)
State:
(860)
or
(860)
Zip:
Date of Birth:
Current School:
Planned Graduation Date:
(mm / yy)
Extra Curricular / Clubs / Community Activities
Planned School:
Dates
Accepted?
(city / state)
Planned Major:
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PART 2. REQUIREMENTS (Please submit to Mrs. Bedard in the School Counseling Office)
1.
Essay: Please submit a five hundred (500) word or less essay on your reasons for
selecting to continue your education in the field of humanities. Please indicate how
you feel that the study of humanities will prepare you to become a productive and
contributing citizen.
2.
References: Please provide three (3) letters of reference reflecting your interest and
involvement in the study of the human condition. A minimum of two (2) of the letters
should be from teachers who have taught you during your junior or senior years.
3.
GPA/Class Rank: Provide the following information from your Guidance Counselor:
a.
Information on GPA or Class Rank.
b.
Copy of academic transcript.
4.
Statement of Financial Need: Please include a statement in one hundred (100) words or
less, indicating how, the Sheehan Family Trust Scholarship will allow you to continue
your post-secondary education which would otherwise not be possible.
5.
The completed application and associated documents must be submitted to Dr.
Phillips in the School Counseling office by March 11, 2016.
I have read and hereby accept the conditions outlined on this application; I agree to accept the
decisions of the Scholarship Trustee as final; and I certify that I did not receive assistance in
writing my essay.
Signature of Applicant:
Checklist:
_______
_______
_______
_______
_______
_______
_______
Date:
Completed Form (above)
500 Word Essay
Three Personal References
Letter of recommendation from your Guidance Counselor
Information on GPA / Class Rank
Copy of academic transcript
Statement of financial need
ALL SUBMISSIONS MUST BE DELIVERED BY MARCH 11, 2016
TO: Mrs. Bedard, Director of Counseling
Montville High School
800 Old Colchester Road
Oakdale, CT 06370
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