EmailMe Form - 2023 SOUTHWEST NAHRO SCHOLARSHIP

Applicant Name

First Last

Address

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

Phone

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

Email

Gender

Name of Housing Agency and City

Age

Social Security #

Graduation Date

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: (College students - also include everything awarded during high school)

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)

High school transcript

An official (stamped or signed) high school transcript which includes all high school grades through the first semester of the senior year for high school seniors. For college students - an official college transcript including all grades through the fall semester stating the overall GPA.

ACT or SAT test score results

A copy of ACT or SAT test score results, if not on official transcript.

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

Photograph

A photograph 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.

FAMILY INFORMATION

Name of Parent or Guardian

Position held with the Agency

How long

Number of children in family living at home

Single Parent Household

Yes

No

Total Household Income up to, but not more than

Describe any special circumstances of financial or other need

Housing Agency Certification signed by the Executive Director