The Family of Amanda Jane Dombrowski and the Lake Park Educational Foundation Are Pleased

The Family of Amanda Jane Dombrowski and the Lake Park Educational Foundation Are Pleased

<p> LAKE PARK HIGH SCHOOL EDUCATIONAL FOUNDATION SCHOLARSHIP APPLICATION</p><p>Completed scholarship applications must be turned into the Career Center at West Campus by Thursday, March 10, 2016.</p><p>Section A: Basic Information</p><p>Last Name: First Name: Middle Name: School ID #:</p><p>Mailing Address: City: State: Zip Code:</p><p>Phone Number: Email Address:</p><p>Name of LPHS Counselor:</p><p>Please describe your work experience. Include your employer name, job title, responsibilities, dates of employment, and hours per week.</p><p>Family Information: Father’s Name: Father’s Occupation: Mother’s Name: Mother’s Occupation:</p><p>Number of parents in home, including stepparents:</p><p>Number of siblings living at home, including stepbrothers and stepsisters:</p><p>Number siblings currently attending college:</p><p>Please explain below any specific family financial problems, challenges, or issues the selection committee should be aware of: </p><p>Section B: Academic Information Check Weighted or Non-Weighted Class Rank: Cumulative GPA through 7th semester:  Weighted GPA and Class Rank  Non-Weighted GPA and Class Rank</p><p>Section C: Future Plans</p><p>What college are you planning to attend in the fall of 2016? </p><p>Intended college major:</p><p>Intended career choice:</p><p>Please describe your reason(s) for choosing your future career: 590 South Medinah Road Roselle, Illinois 60172-1978 630-529-4500 Section D: Athletics and Extracurricular Activities List school activities, year(s) of involvement, year(s) of offices held, and year(s) when honors was/were received. Check the year in school when activities occurred. 9th 10th 11th 12th LEADERSHIP POSITION/ ACTIVITY GRADE GRADE GRADE GRADE HONORS BY YEAR</p><p>Section E: Community Activities List all community activities in which you participated during your high school years, year(s) of involvement, and any leadership positions held or honors received.</p><p>PLEASE MAKE SURE YOU ATTACH THE FOLLOWING TO YOUR APPLICATION:</p><p>□ Your unofficial transcript of all high school classes taken </p><p>□ The letter(s) of recommendation from a Lake Park teacher, coach, or club sponsor (Some scholarships require two letters of recommendation or letters from a specific subject-area teachers. Please refer to the specific scholarship application for letter(s) of recommendation requirements.)</p><p>□ The completed the essay(s) for the scholarship for which you are applying. (See Scholarship Information Packet)</p><p>Signature of Endorsement by a Counselor or the Principal: ______</p><p>Date Received By Career Center: ______</p><p>Please be assured that all applications are treated in the strictest of confidence.</p><p>590 South Medinah Road Roselle, Illinois 60172-1978 630-529-4500</p>

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