LYNN R. SOLOMON Educational Scholarship Scholarship amount $250.00 APPLICATION DEADLINE: APRIL 15, 2013 Applicants who meet the following eligibility requirements are encouraged to apply. Applicants must: * be a senior at Warrensburg High School * graduate from Warrensburg High School in good standing * be accepted at a two or four year college or university * be an education major and intend on being a teacher after graduation. 1. Name____________________________________________________ 2. Social Security Number _____________________________________ 3. Permanent Address :_________________________________________ 4. Telephone Number:__________ 5. Date of Birth____________ 6. GPA________ Please use additional paper to answer any of the following questions. 7. State your long-term goals as they relate to your education: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ 8. List all scholastic, athletic or extracurricular activities in which you have participated during your high school years. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ____________________________________ 9. List all volunteer and community service you have been involved in. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ 10. State the reasons why you feel best qualified to receive the Lynn R. Solomon Educational Scholarship. ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ 11. Submit two letters of recommendation with this application. Submit the completed application to: COUNSELOR’S OFFICE WARRENSBURG HIGH SCHOOL Must be postmarked no later than April 15, 2013 APPLICANT’S SIGNATURE_________________________Date________________