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Jay
Entertainment & Music Society 2008
Carlos
Straight Memorial Scholarship Application Student's Full Name
________________________________________________________ Address _________________________________________________________________________ Parent/Guardian Mother _________________________________________________Occupation________________ Student's Date of Birth ____________________________________ Number of Brothers & Sisters _____________Number in College ________________ Anticipated Date of Graduation _________________Field of Study ___________________ Are you attending Full Time _______________ High Schools Attended (Grades nine
through twelve) _______________________________________ ________________ ________________ _______________________________________ ________________ ________________ Name of the College you will be attending Total Cost Per Year __________________________________________________________ ________________ What will you major in? _________________________________________________________ Participation in Extra Curricular Activities - Indicate Year __________________________________________________________ ________________ __________________________________________________________ ________________ __________________________________________________________ ________________ __________________________________________________________ ________________ __________________________________________________________ ________________ Out of School Activities __________________________________________________________ ________________ __________________________________________________________ ________________ __________________________________________________________ ________________ Awards __________________________________________________________ ________________ __________________________________________________________ ________________ Financial Aid Information A. Father's total annual earned income after taxes ____________________________ B. Mother's total annual earned income after taxes ____________________________ C. Amount Reserved for College Eduation of Applicant _________________________ D. Number of Dependents (excluding
Father & Mother)_________________________ ___________________________________________________________________________ Do you expect? If so, write
in the amounts - Pell ________ SEOG ________TAP
________ Will you apply for a Guaranteed Student Loan? _____________ How much? ______________ How much have you saved ____________________________ Please state in 200 words or less (written on the back of this application) your reasons for applying for this scholarship. Be specific as to your needs. (Please write legibly in your own handwriting or type)
Signature of Applicant ______________________________________________________ |