SWDGA Girl’s Scholarship Application

 

Name:   _____________________________________________________________________

Address: ____________________________________________________________________

                 ______________________________________              e-mail: _________________

Phone (Home) ______________________________________  cell:  ____________________

 

With whom do you reside? _____________________________________________________

Parent/Guardian Employer:                   Mother   ________________________________________

                                                                 Position Held  ____________________________________

                                                                 Father  _________________________________________

                                                                 Position Held  ___________________________________

 

What colleges have you applied to?  _____________________________________________

___________________________________________________________________________

 

What college do you plan on attending (if accepted)?  _______________________________

 

Annual cost of attending this college?  ___________________________________________

 

Parental income (please check one)

_____   Below $25,000                          ____  $26,000-$40,000                                  _____  $40,000-$70,000

_____   $76,000-$99,000                       ____  Above $100,000

 

 

Complete information on siblings:

 

Text Box: Name	Age	Present school/college
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________

Student’s own assets available to meet college expenses (including all scholarships)

 

Nature of Assets                                         How Obtained                                         Amount

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

Other sources of financial aid:

From parent’s income/assets _____________________________________________________________

From student’s income/assets ____________________________________________________________

 

Please include any other information about yourself  that the committee should consider:

 

 

 

 

Please send this scholarship application, second school transcript and all supporting materials to:

Thelma Taylor

218 Euclid Drive

Fayetteville, NY  13066

 

 

Deadline for ALL application materials is May 2, 2017