Scholarship Application - Girl Code

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APPLICATION 2016
SCHOLARSHIP
Please type your answers.
Last Name:
First Name:
1.
2.
Mailing Address
Street:
City:
State:
Zip:
Daytime Telephone Number: (
)
3.
Email Address:
4.
Date of Birth:
Month
Day
Year
Gender:
5.
Cumulative Grade Point Average (GPA): __________
(On a 4.0 scale)
Attach proof of GPA. Your most recent school transcript is required.
6.
Are you the first person in your family to go to college:
YES ___
NO ____
7.
Name and location of High School attended:
8.
A. List any academic honors, awards and membership activities while in high school:
B. List your hobbies, outside interests, extracurricular activities and school related volunteer activities:
C. List your non-school sponsored volunteer activities in the community:
14. On a separate sheet please write an essay (>500 words) answering the questions below:
Describe how volunteer or community service has shaped who you are today and what community service has taught
you. Also, discuss in your essay about any challenges or obstacles you have dealt with and overcome in life and how
this will help you succeed in college and beyond.

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