Scholarship Application Junior League Of Longview Page 2

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Advanced Courses or Gifted and Talented Programs you are involved in or have been involved in the past 2
years_______________________
Family Income for last year (check appropriate level)
___ under 10,000.00
___ 30,000.00 – 40,000.00
___ 60,000.00 –70,000.00
___ 10,000.00 – 20,000.00
___ 40,000.00 – 50,000.00
___ 70,000.00 – 80,000.00
___ 20,000.00 – 30,000.00
___ 50,000.00 – 60,000.00
___ 80,000.00 and over
List other Scholarships or Financial Aid you have applied for. List dollar amounts if
known.____________________________________________________________________________________
__________________________________________________________________________________________
Ages of children in
family____________________________________________________________________________________
__________________________________________________________________________________________
Give Information where applicable:
Father’s Occupation
__________________________________________________________________________________________
Mother’s Occupation
__________________________________________________________________________________________
Spouse’s Occupation
__________________________________________________________________________________________
Essay: In a one page essay, please discuss your career plans and the reasons you are pursuing this scholarship.
Include a list of colleges you are considering and majors, etc. Explain why you need financial help for your
education and if there are other avenues you have pursued to fund your education.
Recommendations: Enclose two letters of reference. One letter must be from an educator or employer the other
letter should be from someone who knows you well and is not a relative.
Transcripts: Enclose an official copy of your high school transcript and any college transcripts.
Photograph: Recent picture of the applicant.
Signature of applicant: ______________________________________
Date: ____________________________________

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