Scholarship Application-Kansas NAHRO

Scholarship Application

I am applying for

ACADEMIC SCHOLARSHIP

OUTSTANDING ACHIEVEMENT SCHOLARSHIP

GRADUATING SENIOR, CHILD OF AGENCY STAFF

First Name

Last Name

Phone Number

Address

Age

Date of Graduation

GPA

ACT/SAT Score

Academic Major

Academic Minor

College, University or Vo-Tech or you attend

Housing Agency Name

Housing Agency Phone Number

Housing Agency Contact

Housing Agency Contact Email

Summarize your academic accomplishments (e.g. Scholarships, Awards, Honor societies, etc.), Extracurricular school activities you participated in (e.g. clubs, band, drill team, athletic, etc.), Community involvement

Hobbies and any special interest

Please supply any additional information you would like the Scholarship Committee to have that might assist in making their decisions

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

An essay on why applicant wishes to pursue a college degree or vocational training (500 words or less)

ACT/SAT test scores

Two letters of recommendation from community leaders or teachers.

List two Personal References (Name and Phone Number)

Agency certification completed and signed by ED/Administrator

College students must submit college transcript including current grades.

By Signing below you are agreeing:

• That the information I have given is true to the best of my knowledge.

• To maintain satisfactory educational progress.

• To keep NAHRO informed of any changes in schools or enrollment status.

• To provide, or respond to NAHRO requests for, periodic updates on academic progress for the duration of the candidate’s receipt of scholarship funds.

• To consent to the use of my profile, progress, and testimonial, by NAHRO and its subsidiaries, for marketing and fundraising purposes.

• To authorize the office of financial aid to release my grades and pertinent information to NAHRO.

• To authorize the release of my contact information to contractor for the college program (if funded).

Your Signature