MTHS Counselor Nominated Scholarship Application
Please fill out this application if you would like to be considered for nomination of scholarships by the MTHS counselors.
Attach a copy of your senior résumé and return both to the Counseling Office. The sooner your form is received, the sooner
you may be considered for these scholarships.
Be sure to go online to the MTHS career center website for other scholarship opportunities for which you must apply
separately.
Name
Address
Home Phone #
Student Email
Student Cell Phone
1.
#
Educational Information:
To which universities, colleges, training, or job preparation programs are you applying?
(List in order of preference.)
1.
2.
3.
4.
2.
Career Goals: Identify your intended major or program (i.e., welding, zoology, engineering, or teaching). (List in order of preference)
1.
2.
3.
3.
Gross annual income of parent(s)/guardian(s) - before taxes $
Most of our scholarships include financial need and if we are unsure of your family income, we cannot consider you without
this information.
Will you be applying for financial aid? Yes ☐
4.
No ☐
Number of dependent siblings?
Of these, how many will be in college in the next 2 years?
5.
Did you have a parent or grandparent who graduated from MTHS? Yes ☐
No ☐
If so, give name
Year Graduated
6.
Have either of your parents attended college?
Did either or both graduate from college?
Mother Yes ☐
Mother Yes ☐
No ☐
No ☐
Father Yes ☐
Father Yes ☐
No ☐
No ☐
*Please attach a confidential statement if there are any circumstances that impact your ability to pay for college or have impacted your
academics.
Note: You must attach a senior résumé (see next page for example)! Important!! Indicate # of hours spent on each activity.
E:\Shared\Forms\MTHS Counselor Nominated Scholarship Application
2/9/2016
Any Student
21801 44th Avenue W
Mountlake Terrace, WA 98043-8489
wonderkid@yahoo.com
425-123-4567
GPA 3.48 SAT Total 1500 ACT Composite 20
Educational / Career Goals
BA Business
Organizations
National Honor Society (10, 11, 12; 1 hour monthly)
Link Crew, helping ninth graders (12-30 hours yearly)
Hawkeye, school newspaper (10, 11, 12; 4 hours weekly)
Family, Career, and Community Leaders of America (10, 11; 1 hour weekly)
Church youth group (5-12; 4 hours weekly)
Music / Drama
Violin lessons (12 years; 1 hour weekly)
MTHS Orchestra (9 – 12)
Cascade Youth Symphony (9-12; 1 hour weekly)
“Romeo and Juliet” MTHS school play, lead role (120 hours)
Athletics
MTHS Tennis (9 – 12)
Jogging (9-12; 7 hours weekly)
Boys and Girls Club Basketball (9, 10; 100 hours)
Work Experience
Child Care - 20XX – Present
Avis, file clerk (10, 11; 10 hours weekly)
Community Service
Children’s Hospital volunteer (11, 12; 3 hours weekly)
Study Club tutor (11; 2 hours weekly)
Camp Counselor for youth group (9; three days)
Awards
MTHS Orchestra 1st place Gresham, OR (10)
National Journalism Education Association Superior Editor (11)
Personal Strengths
Ability to speak, read, and write Spanish
Ability to work under stressful situations
Excellent time management and organizational skills
Works well independently and with others
E:\Shared\Forms\MTHS Counselor Nominated Scholarship Application
2/9/2016