EmailMe Form - SOUTHWEST NAHRO SCHOLARSHIP APPLICATION

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Phone

### - ### - ####

Gender

Male

Female

Graduating Senior

Resident/Client

Name of Housing Agency and City

Age

Social Security #

Graduation Date

Cumulative GPA

Best ACT/SAT Score

Academic Major(s) will pursue, or are pursuing

College or Vocational School you plan to attend

Summarize your academic accomplishments, extra-curricular activities, (e.g. awards, honor societies)

List all scholarships awarded to you and the amount of each

List the community activities in which you have taken part (e.g. church groups, community service organizations, etc.)

List hobbies and any special interests

Indicate any jobs which you have had (full or part-time)

List two personal references (name, addresses, and phone number)

GED or High school transcript

GED or an official (stamped or signed) high school transcript which includes all high school grades through the first semester of the senior year.

ACT or SAT test score results

Copy of ACT scores, if available

A letter of recommendation from Agency

A letter of recommendation from the Executive Director, Administrator, or other agency
representative

Two letters of recommendation

Two letters of recommendation from community leaders such as teachers, coaches, church leaders, employers, etc. (adults that know you well and can attest to your character, work habits, etc.)

Essay

An essay on why he or she has chosen to pursue the area of study chosen, and what influenced the applicant’s choice of that area of study. (500 words or less) ESSAYS MUST BE TYPED

Two (2) Photographs

Two (2) photographs to be used in a slide show presentation if selected. Applicants are allowing Southwest NAHRO use of their photographs unless they state otherwise in writing.

Supplementary Information Form

Housing Agency Certification signed by the Executive Director