Preview Application Form

This is an example of the application questions with which you will be presented. It is recommended that you review the following application questions prior to filling out the form, as you will not be able to save your progress if you are missing the required information.

 

Items with an asterisk (*) are required fields.

 

*First Name

*Last Name

*Gender

*Social Security Number (in this format: 123-45-6789)

*Street Address

*City

*Zip Code

*Date of Birth (in this format: mm/dd/yyyy)

*Home phone number

*Cell phone

*Email address

*High School

If Other, please name

*Year of HS Graduation

*High School GPA

Class Rank

*SAT Total Score (out of 2400)

*SAT Verbal (out of 800)

*SAT Writing (out of 800)_

*SAT Math (out of 800)

*ACT Composite Score (out of 36)

*ACT English Score (out of 36)

*ACT Math Score (out of 36)

*ACT Reading Score (out of 36)

*ACT Science Score (out of 36)

 

What college do you plan to enroll in for 2010-2011?

*Name of College

 

Please list all other colleges and universities to which you were accepted. Please separate each entry by a comma (e.g. Davidson, Cooper Union, Santa Clara). If you did not receive any other acceptances, please type "None."

*Other Acceptances

 

AP Class 1

AP Score 1

AP Class 2

AP Score 2

AP Class 3

AP Score 3

AP Class 4

AP Score 4

AP Class 5

AP Score 5

 

Please list all scholarships, financial awards, grants, sources of income, etc. that you have applied for or been granted, other than those given as part of your financial aid package from the university you plan to attend. This information will help us to determine your need above and beyond what is already covered by your financial aid package. (A scholarship from the SCS will not take away from your current financial aid packages.) Please indicate if these are renewable from one year to the next or are a one-time award (circle yes or no).

 

Do not use dollar signs in the "award amount" fields -- simply enter the amount (e.g. 1000, 2000, 5000).

 

Award Amount

Institution

Type of Award

Award amount 2

Institution 2

Type of award 2

Award Amount 3

Institution 3

Type of Award 3

 

Please check the industry/major(s) that you wish to pursue in college. You can select up to 3 by priority.

 

*Major/Industry - Priority 1

*Major/Industry - Priority 2

*Major/Industry - Priority 3

*Name your major if you are declared. (or type "Undeclared")

 

Please use the fields below to provide additional information regarding your non-academic activities, goals, and interests.

 

ESSAY INSTRUCTIONS: You will have to submit one personal statement and 3 mini essays. Mini essays should be 300-500 words in length.

 

PERSONAL STATEMENT: Please submit a personal statement that you have already written as part of your college applications (cut and paste). Make sure to choose one that answers the following: What is it that makes you want to go to college? What are your goals and what do you see in your future?

Note: strong essays are often around 500 to 1000 words in length.

*Personal Statement (500-1,000 words)

 

MINI ESSAY #1: Please describe the obstacles that you have overcome.

*Mini Essay #1 (500 words max)

 

MINI ESSAY #2: Please describe some achievements that you have made up to this point.

*Mini Essay #2 (500 words max)

 

MINI ESSAY #3: Please describe your future educational goals (i.e. graduate or professional school).

*Mini Essay #3 (500 words max)

 

Additional Questions.

*Extracurricular Activities (255 words max)

*Interests / Hobbies (255 words max)

*Future Plans After College

 

If there are any other things you think we should know when we consider your application, please use this space to tell us about them.

Other Comments

 

Please note that if you have left required fields empty, that you will not be able to submit this form. Take a few moments to review your entries prior to hitting "Submit."

 

By submitting this application, I hereby authorize SCS to share any information provided to SCS or any SCS employee, whether provided in this application or otherwise and whether previously provided or provided in the future, with other SCS employees or with third parties as SCS deems helpful or necessary to achieve the goals of SCS.

 

Submit

 

 

Return to the Scholarship 2010 Application page.