LAFAYETTE PARISH SCHOOL SYSTEM SUPERINTENDENT’S SCHOLARSHIP GOLF TOURNAMENT 2017 SCHOLARSHIP INFORMATION SHEET PURPOSE: The Lafayette Parish School System organizes its annual Superintendent’s Scholarship Golf Tournament to fund college scholarships for students graduating from Lafayette Parish Public Schools. Members of the Scholarship Committee look for students who show academic potential, a desire to succeed, and who have a financial need. ELIGIBILITY: Applicants must meet the following criteria: 1. Begin his/her freshman year in 2017-2018 at an accredited Louisiana college, university, or vocational-technical school 2. Enroll as a full time student (12 or more hours) 3. Finish high school with an overall 2.5 G.P.A. or higher on a 4.0 scale or have earned a high school equivalency diploma through the Lafayette Parish School System’s Adult Education Program or the Exiting Pathways Program with a minimum total score of fifty on the HiSET. 4. Demonstrate financial need SELECTION AND AWARD: A committee will review scholarship applications and select recipients. The Superintendent’s Scholarship Committee will award scholarships to the designated applicants based on funds available. Maximum scholarship allocation will be $3000. Recipients may use the funds for school-related expenses such as tuition, fees, books, or room and board. Checks will be made payable directly to the university or college when the recipient presents related documentation. Scholars will receive half of the funding in August for the fall semester; half of the funding in January for the spring semester, provided the recipient has completed the fall semester as a full-time student and maintained a 2.5 G.P.A. or higher. Money not claimed within two (2) calendar years of this award will be returned to the scholarship fund. THE SCHOLARSHIP MUST BE USED FOR EDUCATION EXPENSES SUCH AS TUITION, BOOKS, ROOM/BOARD, ETC. (If student is eligible for TOPS, this scholarship cannot be used for tuition.) APPLICATION PACKAGE: Consideration will be given only to applicants submitting an application packet, which must include the following: 1. Parent or guardian’s official verification of income (copy of signed current federal tax return or proof of income) 2. Completed application form, including the essay 3. Current high school transcript or HiSET results report 4. Copy of ACT/SAT results 5. Names of two (2) references (one academic, one non-academic) APPLICATION DEADLINE: Completed application packet must be submitted, no later than Wednesday, May 10, 2017 to the LPSS Superintendent’s Scholarship Committee, Lafayette Parish School System, P O Drawer 2158, Lafayette, LA 70502, ATTN: Randy Bernard, Academic Specialist. Notification of scholarship award will be announced in May 2017.

2016 LPSS Superintendent’s Golf Tournament Scholarship Application Form

Applicant Last

First

Middle

Street

City

State

Zip

State

Zip

State

Zip

Home Address

Date of Birth

Age

Sex M

F ___ Social Security #

Home Phone

Work Phone (student)

Father/Guardian

Home Phone

Home Address (If different from student)

Street

City

Employer

Phone

Employer’s Address Street Mother/Guardian

City Home Phone

Home Address (If different from student)

Street

Employer

City

State

Zip

State

Zip

Phone

Employer’s Address Street Number of Siblings

City

Their ages

*Family Income: $______________ per year - ATTACH COPY OF SIGNED TAX RETURN FOR 2016 OR PROOF OF INCOME. *NOTE: Application will not be considered without this information. Please explain special financial need

College to which you plan to apply *Must be an accredited college, university or technical school in the state of Louisiana. Letter of acceptance is required prior to awarding of scholarships.

Expected date of enrollment

Intended Major

Scholarships/Grants applied for

Scholarships/Grants received

Overall academic grade point average Total Score on ACT

on a 4.0 grade point scale or HiSET score _______ or SAT

Date of Exam

Present High School OR circle the program completed: LPSS Adult Education or LPSS Exiting Pathway Address Street Principal

City

State Phone

List School Activities & Honors--include leadership positions (attach separate page(s) if necessary)

Community Activities--include leadership positions (attach separate page(s) if necessary)

Honors Received (attach separate page(s) if necessary)

Part-time/Summer Employment

Zip

Give the names, addresses and telephone numbers of two (2) references other than members of your family: Academic Reference Name

Phone

Address Street

City

State

Zip

State

Zip

Relationship to Applicant

Non-Academic/Community Reference Name

Phone

Address Street

City

Relationship to Applicant

Essay - Tell the committee about yourself (briefly explain why you should receive this scholarship.) Attach the essay to your application. NOTE: Applications will not be considered without this essay.

I HEREBY STATE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. NOTE: Any scholarship money that has not been initially accessed in any form within two years of the awarding of the scholarship will be forfeited and returned to the scholarship fund.

Applicant’s Signature

Date

Parent’s/Guardian/s Signature

Date

Principal’s Signature

Date

NOTE: All information submitted will be made available only to members of the selection committee and will be held in the strictest of confidence.

2017 Scholarship Application.pdf

Home Address. Street City State Zip. Date of Birth Age Sex M F ___ Social Security #. Home Phone Work Phone (student). Father/Guardian Home Phone.

233KB Sizes 2 Downloads 283 Views

Recommend Documents

2017 Scholarship Packet.pdf
Please turn page over for more scholarships. Page 3 of 17. 2017 Scholarship Packet.pdf. 2017 Scholarship Packet.pdf. Open. Extract. Open with. Sign In.

2017 Scholarship Packet.pdf
Please turn page over for more scholarships. Page 3 of 17. 2017 Scholarship Packet.pdf. 2017 Scholarship Packet.pdf. Open. Extract. Open with. Sign In.

2017 SEALY AMERICAN LEGION POST 442 SCHOLARSHIP ...
2017 SEALY AMERICAN LEGION POST 442 SCHOLARSHIP APPLICATION.pdf. 2017 SEALY AMERICAN LEGION POST 442 SCHOLARSHIP APPLICATION.

2017 Scholarship Application Form.pdf
The Jacksonville Asian American Alliance Scholarship is awarded to high school senior students who. (1) have been accepted to an accredited four-year ...

elder abuse scholarship 2017.pdf
Page 1 of 4. Page 1 of 4. Page 2 of 4. Page 2 of 4. Page 3 of 4. Page 3 of 4. elder abuse scholarship 2017.pdf. elder abuse scholarship 2017.pdf. Open. Extract. Open with. Sign In. Details. Comments. General Info. Type. Dimensions. Size. Duration. Lo

Duval House New Beginning SCHOLARSHIP APPLICATION - 2017 ...
following address 13565 Ashford Wood Ct E. Jacksonville, FL 32218. The address is also listed on the. final page of this application. Please complete all seven ...

BAZ Scholarship application 2017.pdf
Attention: Beta Alpha Zeta Chapter Scholarship Committee. P. O. Box 41302. Jacksonville Florida 32203. Whoops! There was a problem loading this page.

Tackle Box Scholarship 2017.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Tackle Box ...

2017 TRNA Scholarship Application.pdf
Mar 1, 2017 - Failure to meet this requirement may forfeit an award. Scholarship awards will be paid and presented to the school business office or bookstore.

Rotary scholarship 2017.pdf
School (Circle One): Astoria H.S Knappa H.S.. ***IMPORTANT: This will be a “blind” application process. Please do not. Include your name or personally ...

Kennedy Brothers Scholarship 2017.pdf
Sign in. Loading… Whoops! There was a problem loading more pages. Retrying... Whoops! There was a problem previewing this document. Retrying.

Scholarship Application Form 2017.pdf
purpose of selection and will not be shared with any other group or organization. Page 1 of 1. Scholarship Application Form 2017.pdf. Scholarship Application ...

2017 Scholarship Awards Program Final.pdf
American Legion Ladies Auxiliary Post #273 Awards: Four awards of. $400 each to deserving students who wish to continue their education. * 6. American Legion Millican-MacKenzie Post #273 Scholarships: Four. awards of $400 each to students who wish to

Spectra Chesterfield Public Schools 2017 Scholarship Application.pdf
Spectra Chesterfield Public Schools 2017 Scholarship Application.pdf. Spectra Chesterfield Public Schools 2017 Scholarship Application.pdf. Open. Extract.

IHS Scholarship Application-2017-FINAL.pdf
Supporting Islesboro Central School students in their pursuit of academic excellence. at post-secondary institutions of higher learning across the United States.

GU Scholarship Application_Fall 2017.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. GU Scholarship Application_Fall 2017.pdf. GU Scholarship Application_Fall 2017.pdf. Open. Extract. Open with

Final 2017 Gale James Memorial Scholarship Application.pdf ...
Page 1 of 6. Updated: Tuesday, August 15, 2017. GALE “Par Lady” JAMES MEMORIAL SCHOLARSHIP. “The Gale James Memorial Scholarship” is established in memory of D. Gale James, a professional golf. instructor until her death April 2015. The schol

Wallace 2017 Summer Honors Scholarship Application.pdf ...
Page 1 of 1. Wallace 2017 Summer Honors Scholarship Application.pdf. Wallace 2017 Summer Honors Scholarship Application.pdf. Open. Extract. Open with.

2017 Scholarship Awards Program Final.pdf
daughters, all graduates of Burlington schools. Dennis took night classes for. twenty years to earn his degree in Computer Engineering. This award goes to.

2017 National Continental Scholarship Application.pdf
***Please submit your application through a local Continental Chapter***. Mail to 6999-02 Merrill Rd Unit 294. Jacksonville, FL 32277. Deadline March 31, 2017.

IHS Scholarship Application-2017-FINAL.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. IHS Scholarship ...

2017 Masonic Scholarship Packet.pdf
TIME AND TALENTS TO ASSIST OTHERS AND HOW SUCH SERVICE MADE YOU FEEL. Page 2 of 2. 2017 Masonic ... ip Packet.pdf. 2017 Masonic S ... hip ...