Lakeshore Goodfellows Scholarship Application

LAKESHORE GOODFELLOWS SCHOLARSHIP APPLICATION

NAME ______Date of Birth ____/____/____ last first initial

Address ______Phone ______street

______city state zip

Class Rank ______Number in class ______

Please include an Official Transcript with this application

A. Honors received in High School for Scholastic Achievement:

______

B. High School extracurricular activities (in order of interest to you)

1 ______5 ______

2 ______6 ______

3 ______7 ______

4 ______8 ______

C. Other activities outside of school (church, civic, recreational, etc.)

______

______D. Work experience ______

______

E. Father’s occupation ______

F. Mother’s occupation ______

G. List the first names and ages of any brothers or sisters, and whether they are working or attending school: Name Age School/work

______

H. College you plan to attend: ______

Field of study: ______

I. Attach a SEALED letter of recommendation with this application about character, personality and ability.

J. Attach an essay of approximately 250 words (typed/double spaced) on your educational objectives.

K. Your official transcript should include marks from the first semester of your senior year and copies of your SAT or ACT scores.

L. DUE DATE TO THE COUNSELING CENTER: APRIL 15 TH

Any application which does not have all the required sections will be disqualified and will not be considered for the scholarship