$1,000 Scholarship
The
2018 Doug Picott Memorial Scholarship
$1,000
will be awarded to a selected student who attended Southeastern Elementary
School
REQUIREMENTS:
· Must be a Chesapeake
Public School graduating senior
· Must have attended
Southeastern Elementary School
· Must have a GPA of 3.0 or
higher
· Must complete application
and essay by April 20, 2018
· Must be accepted to a
college or university.
Application
location:
High school guidance office
Application
deadline:
April 20, 2018
Recipient notification: May 4, 2018
Additional information: Contact seepta1@gmail.com
Application for 2017 Doug Picott Memorial Scholarship
Sponsored by Southeastern
Elementary School PTA
Page 1
Requirements:
·
Must be a Chesapeake Public School graduating senior
·
Must have attended Southeastern Elementary
School
·
Must have a GPA of 3.0 or higher
·
Completed application and essay turned in by the
deadline
·
Acceptance to a college or university.
Personal Information:
Name: ___________________________________________________________________
Student
ID number: _________________________________________________________
Date
of birth: ______________________________________________________________
Street
address: _____________________________________________________________
City,
State, and Zip: _________________________________________________________
Mobile
phone: ____________________________Other phone:_______________________
Email
address: _____________________________________________________________
Education
Information:
Years
attended Southeastern Elementary school: __________________ years
High
school anticipated graduation date: _______________________________________
GPA:
__________________________
College/
University attending: ________________________________________________
Course
of study/major: ______________________________________________________
Work
Experience, Awards, Volunteer, and Extracurricular Activities
(Please
list and describe below. Feel free to type it and attach on a separate sheet of
paper).
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Application for 2018 Doug Picott Memorial Scholarship
Sponsored by Southeastern
Elementary School PTA
Page 2
Supporting
Documentation
The
following must accompany the
application:
_______1.
Essay of 500 words or less on the following topic:
Reflecting back on your days as a student at Southeastern Elementary
School, what experiences prepared you for your upcoming role as an undergraduate
student?
_______
2. Two (2) Letters of Recommendation from teachers at your current school
_______
3. A copy of your current Official High School Transcript (GPA of 3.0 or
higher)
Department
Chair/ Principal: _________________________________________ (print)
_________________________________________
(sign)
Counselor/ Advisor:
_________________________________________ (print)
_________________________________________
(sign)
Certification Statement
I certify
that all of the information contained in this application is true and complete
to the best of my knowledge.
Signature
of Applicant: ______________________________________ Date: ___________
Signature
of Parent/ Guardian: ________________________________ Date: ___________
Please
return completed application, essay, and documentation to the main office at
Southeastern Elementary School, ATTN: SEE PTA. Please provide the originals and
one copy of each.
Application Deadline: April 20, 2018
Award Notification: May 4, 2018
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