<p> LAKESHORE GOODFELLOWS SCHOLARSHIP APPLICATION</p><p>NAME ______Date of Birth ____/____/____ last first initial</p><p>Address ______Phone ______street</p><p>______city state zip</p><p>Class Rank ______Number in class ______</p><p>Please include an Official Transcript with this application </p><p>A. Honors received in High School for Scholastic Achievement:</p><p>______</p><p>______</p><p>______</p><p>______</p><p>B. High School extracurricular activities (in order of interest to you)</p><p>1 ______5 ______</p><p>2 ______6 ______</p><p>3 ______7 ______</p><p>4 ______8 ______</p><p>C. Other activities outside of school (church, civic, recreational, etc.)</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______D. Work experience ______</p><p>______</p><p>______</p><p>______</p><p>E. Father’s occupation ______</p><p>F. Mother’s occupation ______</p><p>G. List the first names and ages of any brothers or sisters, and whether they are working or attending school: Name Age School/work</p><p>______</p><p>______</p><p>______</p><p>______</p><p>H. College you plan to attend: ______</p><p>Field of study: ______</p><p>I. Attach a SEALED letter of recommendation with this application about character, personality and ability.</p><p>J. Attach an essay of approximately 250 words (typed/double spaced) on your educational objectives.</p><p>K. Your official transcript should include marks from the first semester of your senior year and copies of your SAT or ACT scores.</p><p>L. DUE DATE TO THE COUNSELING CENTER: APRIL 15 TH</p><p>Any application which does not have all the required sections will be disqualified and will not be considered for the scholarship</p>
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