Edgewood High School Dollars for Scholars
 A Program of Scholarship America ®

2010 Scholarship Application

Instructions

In order to file an online application, you must complete the application in one sitting (about 20 minutes-if you have all of your information ready). You cannot quit part way through and resume at another time. If you think that you will need to stop before completing the form, you should print the form, fill it out offline, and submit the paper copy to the EHS guidance office. To go to a printer-friendly version of the form for offline completion, click here.

The 2010 deadline for applications is Friday, April 2nd. All materials, including application form, recommendations, appraisals, and any supplemental materials for specific scholarships must be turned in to the EHS Guidance Office by this date.

Before beginning, please scroll through the entire application, so you can determine whether you can complete the entire application at this time.

Please complete this application so we can determine your eligibility for receiving funds set aside to help students who plan to go on to postsecondary education, and who satisfy other criteria developed by EHS Dollars for Scholars and scholarship award providers. Filling out this application and submitting it by the deadline will enter you in competition for scholarships that are awarded by the EHS Dollars for Scholars chapter. These awards include those offered by outside organizations and those offered by the chapter itself.

Complete your sections of the application and give the appraisal form to the person you have selected to do your appraisal. One letter of recommendation is required in addition to the form. It can be from the same person filling out the form or someone different. You are encouraged to select a school or college counselor, administraor, or teacher. Other possible recommenders include employers, members of the clergy,  job supervisors, or any other person who is in a position to evaluate you according to the criteria given. You should supply an envelope to any individual completing an appraisal form or writing you a letter of recommendation. You must print your name and "Dollars for Scholars Recommendation" on the front of the envelope. The appraiser must put the form or letter in the supplied envelope, seal it, sign it across the sealed flap, and return it directly to you to turn in with your completed application packet.

You are responsible for seeing that all supporting documents are submitted. Edgewood Dollars for Scholars will process only applications found to be complete as of the application deadline.

You are also required to submit an essay as part of this application. After submitting your application data online, you should direct your browser to the page for submitting your essay. The form for completing your essay is available online at www.ehs-dfs.org/essay.htm.  We recommend that you copy your essay from a (saved) word processing document into the form by using the Copy/Paste function. You may complete your essay online or, if you prefer, you may hand-deliver a printed copy of your essay to the EHS Guidance Office.

REMEMBER: This application becomes valid only when all of the following have been submitted by the deadline: scholarship application, letter of recommendation; appraisal form; and application essay.
 
 

                                              2010 Scholarship Application

Applicant Data
Mr.  Ms.
                                   First Name                            M.I.                          Last Name

           
                Street Address                           City/Town          State       Zip  

     
  Date of Birth mmddyy       Telephone Number xxxxxxxxxx (10 digits including area code)


                  Name of Parent Guardian (First Name, M.I., Last Name)


                           Permanent Address if Different from above


                      Applicant's Email Address
                       

Other Monetary Awards for College
Please list below the names and amounts of any grants or scholarships that you have been awarded for the coming school year.

Award 1 Name Award 1 Amount

Award 2 Name Award 2 Amount

Award 3 Name Award 3 Amount

Please check here if you are a Twenty-first Century Scholar.

College Plans
First-choice postsecondary institution for which scholarship is sought

Second-choice postsecondary institution (where you would use the scholarship if you didn't go to your first-choice institution)

Type of postsecondary institution

4-year college/university

2-year college

Business, professional, technical, or vocational training

Have you been accepted to college?

Anticipated month/year of graduation from Postsecondary Institution
                                                                                                    mm/yy
Student Plans
Live on campus or Live off campus or Commute

Attend full time or Attend half time or more or Attend less than half time

Plan to work while in school? If checked, how many hours per week?

Major field of study or program you intend to complete

What kind of work do you want to do upon completion of your postsecondary education or training?

School and Community Activities and Sports Participation
Participation in extracurricular activities develops leadership skills and builds character. Be sure to list all of your community service, volunteer work, school clubs, and sports involvement.

Activity/Grade Level # of Hours per Grade Special Awards, Honors, Offices Held
Example: Key Club 11, 12 11--20, 12--40 12--Vice President

Work Experience

Position Date From (mo/yr) Date To (mo/yr) Hours Per Week Amount Earned

Certification and Permissions
In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted. I agree that if I am offered and accept an award from Scholarship America or an affiliated program, Scholarship America and its affiliated programs may use my name, the name of my community, the name and address of my school, the amount of the award, my photograph, and the name of the postsecondary institution I will attend (my “Recipient Information”) in press releases, public announcements, and other fundraising or promotional materials in all media (including the Internet), to advance the non-profit objectives of Scholarship America and its affiliated programs. Further, I authorize members of the Edgewood High School Dollars for Scholars Awards Committee to review my school records (including grades, GPA, class rank, admissions test scores, and other information relevant to making awards decisions).

 

To sign electronically, type your name and the last 4 digits of the student's Social Security Number.

Applicant’s Signature (age 18 or older) Date
                                                                 First, M.I., Last/Last 4 digits of SSN                      mm/dd/yy

 

 

Parent's Signature (student age less than 18) Date  
                                                                            First, M.I., Last/Last 4 digits of SSN                       mm/dd/yy

 

How do you plan to provide us with your application essay?

 

    By using the electronic submission form

 

    By taking the essay to the Counseling Office

 

We recommend printing this form for your records before you click on the submit button. Use your browser's print function (click on print icon at top of page) to send your form to the printer. After printing, be sure to submit your form by clicking on the submit button.

 

Click below to submit your scholarship application.