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YORK HIGH SCHOOL
*Scholarship Application Form*
Please complete for scholarship consideration. This information will help the committees in the selection of scholarship recipients. Please be thorough and remember this application represents YOU.
Name: Birth Date:
Student Email Address:
Parent/Guardian Email Address:
Brothers/Sisters (list age and grade level):
Student’s Employer (if applicable):
Grade Point Average: Rank:
School you will attend:
Have you been accepted? Future Occupation:
List below any scholarships that you have received and the amount.
Please respond to the following questions. Use as much space as needed, and continue on to the next page if necessary.