Fillable Scholarship Application 2021-22 (National Park College)

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Scholarship Application 2021-22 (National Park College)

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ORGANIZED JULY.1916
P.O. BOX 909
HOT SPRINGS NATIONAL PARK, ARKANSAS 71902
Scholarship Application 2021-22
MEETS WEDNESDAY, 11:45
ARLINGTON HOTEL
D
eadline: Must be emailed, postmarked, or returned to your counselor by February 1, 2021
PLEASE PRINT OR TYPE
Current Status: High School Senior
Non-Traditional Student
_
Last First Middle Maiden or Other
1. Legal Name
2. Social Security Number - - 3. Email Address _
4. Permanent Address
Street
City County State Zip Code
_/
_
_,
_
_
5. Telephone Number
6. Birth Date /
7. Family demographics: List ALL family members (including yourself)
8. Family Income: Under $25,000 $25,000-$40,000
$40,001-$60,000 _
Over $150,001
9. Name of High School Date of Graduation
10. Current High School and/or College GPA (Include copy of current transcript with your application)
11. For High School Seniors: Rank in Class: out of . ACT Score
12. Classification for fall semester _ Freshman
Sophomore
_ Junior
_Senior
13. College you plan to attend 14. Degree/Program of Study
15. Approximate college cost per year: Tuition: Books: Fees:
16. List any source of tuition assistance (financial aid, scholarships, or employer assistance) that you expect to receive:
First and last name
Relationship to student
(include non-custodian
parents if applicable)
Age and/or
grade in school
Occupation
% of student’s
financial
support
17. Employment, including homemaker/stay-at-home parent/caregiver (Hours per Week)
Unemployed
Summer employment only
0-15 hours
_16-35 hours
36 +hours
18. List last 3 employment positions held and dates held (including current position):
19. List any offices and positions of leadership held (note: current résumé that includes this information may be attached)
20. List volunteer/community/family activities in which you have participated (note: current résumé that includes this information may be attached)
21. List any achievements/honors that you have received while in high school or college (note: current résumé that includes this information may be
attached)
In addition to the application being filled out completely, please
_No
22. Are your parents or grandparents active members of National Park Rotary Club?
Yes, Name
Statement of Intent
I certify that I have read and understand the guidelines contained herein. I attest that all information I have provided in this application is true.
Signature
HSNP Rotary Scholarship Application Instructions
Date
•
•
Applicant must reside or currently attend school in Garland County, AR.
An applicant cannot be an immediate family member (child or grandchild) of an active member of Hot
Springs National Park Rotary Club.
Applicants will be judged by the National Park Rotary Scholarship Committee. A personal interview with
the committee may be requested. The time and date of the scholarship award will be announced at a
later date.
•
include the following:
1.
2.
3.
counselor by February 1, 2021.
Educational Objective/ Personal Essay - Attach, to your application, a statement not to exceed one page
in length of your educational plans, career plans, and future goals.
Letters of Recommendation - Attach two letters of recommendation: One from your high school
counselor, principal, or teacher. The second from a responsible adult, other than an educator or relative,
who knows your character, maturity, and financial need (example: employer, minister, friend of the
family, etc.) Letters must be current and signed by the individual writing the letter.
Official or Unofficial Transcript must be attached to application. If you are currently in college, please
send a copy of your college transcript(s). Otherwise, send your high school transcript or GED certificate.
Deadline: This application and all required attachments must be emailed, postmarked, or returned to your
HSNP Rotary Scholarship Committee, PO Box 909, Hot Springs, AR 71902
hsnprotaryscholarship@gmail.com
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Completed 28 January 2021

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