Johnston County Schools Scholarship Application Please complete this application in your own handwriting in Applicant’s Name __________________________________________ SSN_________________________ Name of High School attending ___________________________________________________________ Home Address ___________________________ City _______________ State ______ Zip __________
Mailing Address if different ____________________________________________________________ Phone __________________________ Date of birth ______________________________ Father’s Name _______________________ Occupation ______________________________ Mother’s Name _______________________ Occupation ______________________________ Are parents divorced?______________________separated?_______________________ Name and address of legal guardian if other than parent ______________________________ ______________________________________________________________________________________ How many brothers and sisters do you have? Older ___________ Younger ____________ How many brothers and sisters are currently attending college full-time?_____________ Have you submitted a Free Application for Federal Student Aid (FAFSA) this year?____ Combined parent or guardian income is under $25,000 ________ $25,000-$50,000 ______ $50,000-$75,000 ________ over $75,000 _________ Have you been offered any scholarships or financial aid?_______If yes, how much and what is the source of this scholarship or financial aid? ______________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ List any unusual financial situations which you believe should be considered _________ ______________________________________________________________________________________ Class Rank______________in a class of_________________GPA__________________ SAT Scores (highest) Verbal__________Math__________Total___________________ Application Due Date____________________ Name _______________________________________________________________________________ College or University you plan to attend ___________________________________________ Have you been accepted?______________Intended major ________________________________ What do you plan to do after college? ______________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
List honors that have been awarded to you __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Please attach an essay in your own handwriting, explaining your educational objectives and aims in life. Limit it to 300 words. Applicant Signature_______________________________________________________ |