<p> MAINLAND REGIONAL HIGH SCHOOL IN-HOUSE SCHOLARSHIP LIST Deadline: Friday, May 6, 2016 1. Class of '62 ($200) - Award to be given to a student with good grades who is involved in school activities but may have been overlooked for other awards. If the student happens to hold down a job outside of school it would be a plus.</p><p>2. Severyn Cleary Social Studies Award ($50) - To be awarded to a Northfield Resident who excels in Social Studies.</p><p>3. Friends of the Linwood Library ($300) - Linwood resident planning to major in English or a related field. Essay required why this field is chosen.</p><p>4. Richard G. Heller Memorial Scholarship ($500) - To be awarded to a student who is conscientious and hard working. Must be interested in pursuing a career in education.</p><p>5. Madeline C. & Dorothy H. Johnston ($300) - To be awarded to a senior girl in need of funds for college who is pursuing a career in the Business Education field.</p><p>6. Mainland Regional Computer Club Award (3 @ $500) – To be awarded to students that have excelled in computer science and are continuing their education in a computer related field. Paragraph required.</p><p>7. Northfield Education Association (2 @ $600) - To be awarded to a Northfield resident. Preference WILL be given to children of Northfield Education Association members.</p><p>8. Ocean City Home Bank ($500) - To be awarded to a senior, who is academically successful, has involvement in the community and attending college full time.</p><p>9. Ann Risser Fine Arts Award ($50) – To be awarded to a Northfield resident who excels in the fine arts, music, drama or dance.</p><p>10. Woolbert Memorial Scholarship ($500 each year for four years) - To be awarded to a student who is deserving, financially needy with high academic performance.</p><p>1 2016 MAINLAND REGIONAL HIGH SCHOOL SCHOLARSHIP APPLICATION FORM</p><p>RETURN TO THE GUIDANCE OFFICE BY DEADLINE (5/6/16): </p><p>NAME: ______</p><p>NAME OF AWARDS FOR WHICH YOU ARE APPLYING:</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>PART I - TO BE COMPLETED BY APPLICANT</p><p>Please print neatly. Student's Name:______Age: ______Address: ______Telephone:______Email ______Social Security #______Guidance Counselor: ______GPA ______SAT Scores Reading ______Math ______Writing ______or ACT Composite Score ______</p><p>2 College you plan to attend: ______Other colleges applied to: ______</p><p>Anticipated Course of Study: ______</p><p>Anticipated Future Career: ______</p><p>Tuition and Fees: ______Books and Supplies: ______</p><p>Room and Board: ______Transportation: ______</p><p>Other (Specify): ______Total Cost for One-Year: ______</p><p>List your hobbies or Extra Curricular activities both in and out of school including employment. (You may attach an additional sheet of paper or your resume/activity list)</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>Describe any adversity you have overcome during your school years. (REQUIRED) Separate sheet will also be accepted </p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>3 PART II - TO BE COMPLETED BY APPLICANT AND FAMILY</p><p>Father (Guardian) Mother (Guardian)</p><p>Name ______</p><p>Home Address ______</p><p>______</p><p>Name & Address ______of Employer/Firm ______</p><p>______</p><p>Position ______</p><p>Years with Firm ______</p><p>Is either parent self-employed or the owner of a business? YES ______NO ______</p><p>Paragraph or poem explaining why you wish to major in English or related field (#3 Friends of the Linwood Library) </p><p>Paragraph stating why you deserve this award (#6 MRHS Computer Club Award) </p><p>Separate sheet will also be accepted </p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>4 This page is required ONLY if you wish to be considered for the following scholarships, which are based on financial need: </p><p>#5 Madeline C. & Dorothy Johnston #10 Woolbert Memorial</p><p>What was your parent's approximate combined income before taxes last year?</p><p>$60,000 or less ______$60,000 to $100,000 ______$ over 100,000 ______</p><p>List any pending financial aid or scholarship applications. ______</p><p>Have you applied for financial aid? YES ______NO ______</p><p>IF YES ATTACH PROOF OF INCOME (most recent tax return or student aid report)</p><p>Have any provisions been made for your education or any part thereof through insurance policies, trust funds, bank accounts, wills, or any other source?</p><p>______</p><p>______Parent Signature</p><p>5</p>