ELECTRIC LEAGUE OF WESTERN PENNSYLVANIA SCHOLARSHIP AWARDS PROGRAM SCHOLARSHIP INSTRUCTIONS Please read this thoroughly and follow all instructions. 1. This application must be completed by the student. 2. Please complete ALL questions and respond using full sentences where possible. 3. This application should be typed in the MS word document format. 4. Please include a school transcript that includes both your GPA and SAT scores. 5. Return by email info@electricleague.com BIOGRAPHICAL QUESTIONNAIRE I. APPLICANT INFORMATION Last Name: First Name: Home address: Email: Telephone: Date of Birth: 1. Enter the name of your parent or guardian and his or her employer which is an Electric League member: Parent/ Guardian: Company that maintains Electric League membership: II. OVERVIEW 1. Are you now a senior in High School? ___yes ____no 2. Enter name and address of High School: 3. Enter High School graduation date: 4. What is your GPA: 5. List any advanced placement (AP) and / or honor courses you have taken: III. SAT SCORES or ACT Scores -- ELWP SAT CODE is #0985 1. Have you taken your SAT / ACT test? _____yes ____no Please note that the Electric League SAT code number is 0985. Please indicate this number on your upcoming test to have your scores sent to our office. If you have taken your SAT / ACT test previously, please send a copy of your scores with this application. 2. Enter your scores: Writing: Math: Critical Reading: IV. SCHOOL 4. Enter the date you expect to begin further study 5. What is your planned course of study / major: 6. What is your intended top 3 career choices: 7. What school do you plan to attend: 8. Is the above school a: ___University ___4 year college V. YOUR ACTIVITIES 1. List activities in which you have participated (please follow column outline & add columns if needed) activity name: dates: offices held: hours per week: other comments: 2. List athletic activities (please follow column outline & add columns if needed) activity name: dates: offices held: hours per week: other comments: 3. List community activities / volunteerism in which you have participated without pay (please follow column outline & add columns if needed) Activity: Name of Group: Awards: hours per week: other comments: VI. WORK EXPERIENCE 1. List all jobs you have held in the last 4 years (include dates of employment and hours) (please follow column outline & add columns if needed) Employer: Type of Work: hours per week: other comments: VII. PERSONAL READING 1. Other than classroom assignments, what books and articles have you read within the last six months? VIII. YOUR FAMILY 1. Parents: 2. Sisters: Number & Ages: 3. Brothers: Number & Ages: IX. ESSAY SECTION 1. Please write an essay describing any family characteristics or experiences that you can share with us. 2. What are your educational goals, fields of interests and possible career aspirations 3. What is the expected cost of your first year of college? Tell us why are you applying for the EL Scholarship? Are you receiving other scholarships? Date: If you wish to send supporting materials, please feel free to email those to the Electric League at the email address below. Please return this application to: info@electricleague.com