Coast Union High School

Leffingwell High School Scholarship Application

(When filling out this application, scroll down under the headings and type your answers. Do not delete any of the printed information.)

Personal Data:

(Name)

(Address)

(Telephone)

Future Plans:

1) Career Goals

2) Academic Goals (List college major if you have selected one)

Name of school you plan to attend in the fall (1st choice school)

Applications sent to:

a) b) c)

Accepted to:

a) b) c)

3) Do you plan to attend school full-time or part-time?

Finances:

1) At the school you plan to attend this fall (1st choice school), for each year:

a) What will be the cost of tuition each year?

b) What will be the cost of books & supplies each year?

c) What will be the estimated cost of room & board (if not living at home)

d) Other fees? Other:

1. List the honors or awards you have received. a. Year Honor/Award

2. List community involvement activities (Volunteer work, etc) and work experience.

3. What courses have you taken that you have found most interesting and why?

4. List the people (teacher, administrator, other) whom you have asked for a recommendation. Two letters of recommendation are required to complete this application. One letter of recommendation must be from a teacher or administrator. The other letter may be from a non-related person or another teacher. (Remember to give people ample time to write you a letter of recommendation).

a. Name Occupation

5. Type your essay and paper clip it to this application (no more than two pages double spaced). Please respond to the following question:

i. What would you like for the selection committee to know about you? You can describe a talent, experience, contribution or personal quality you have that makes you a unique individual. Also, please tell how your educational experience at Leffingwell has been beneficial to you.

In fairness to all applicants, this format must be followed. No resumes or attachments please. Applications submitted not following this format will be discarded.