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La Follette Local Scholarship Application- Class of 2019
Due date - Jan 31, 2019.

Set aside one hour to complete and submit this application.

You CAN"T SAVE THIS APPLICATION half way through and come back to it, so you must complete it all at once. It would be a good idea to scroll down to Essay Questions, do some planning on those, and then come back when you are ready to type answers in.

Your name will be removed when scoring your application, so please submit thoughtful responses.

Email address *
First Name *
Your answer
Last Name *
Your answer
Counselor *
Parent/Guardian Information
Primary Household *
Name of parents/guardians
Your answer
Primary Address *
Your answer
Secondary Household
Name of parents/guardians
Your answer
Secondary Address
Your answer
Do you have a parent/guardian who works in:
Is your parent a member of the Booster Club? *
Additional Information
What middle school did you attend? *
What elementary school did you attend? *
Your answer
Are you in any of the following programs?
List any physical or learning disability that you have.
Your answer
Do you work? *
Place(s) of Employment
Your answer
How many hours a week do you currently work?
Your answer
College Plan
Which college do you plan to attend?
If a Madison College (MATC) program other than Transfer Program, list the program here.
Your answer
What is your intended major? *
Your answer
What is your intended career? *
Your answer
Financial Information
Do you qualify for free/reduced lunch? *
The La Follette Scholarship Committee has several scholarships that are based on financial need.
Total Parent Yearly Income in your primary household *
Primary household is where you live 50% or more of the time
Are there any extenuating circumstances regarding your financial situation?
Anything you want the committee to be aware of?
Your answer
Have you completed the FAFSA? *
If FAFSA is complete, what is your EFC (Estimated Family Contribution)?
This is provided once FAFSA is submitted
Your answer
Which staff members have written letters of recommendation for you?
Your answer
List the top 4 (most involved in) clubs/activities you have participated in and years of involvement IN high school
Your answer
List the top 4 (most involved in) clubs/activities you have participated in and years of involvement OUTSIDE of high school.
Your answer
For which organizations have you held positions of leadership? List your roles within these organizations.
Captain, Leader, President, Officer
Your answer
List ATHLETICS and years of involvement during high school
EX: Volleyball 9-10, Soccer 11-12
Your answer
Will you be receiving a Division 1 or 2 Athletic Scholarship? *
If yes, which sport?
Your answer
List your 4 most meaningful community/volunteer activities plus amount of hours spent doing each. *
List DATES, EVENT, TOTAL HOURS. EX: 10th GRADE, volunteered at Humane Society, 25 Hours
Your answer
How many total hours of Community Service have you done in grades 9-12? *
Your answer
Essay Questions
Your name is removed when we score these applications. For the next three essay questions, you will be scored on a rubric based on your responses, so please be as detailed as possible.
If you feel you have overcome a difficult situation, please write about it.
EX: death in the family, parents' divorce, big move, legal trouble, mental health, physical injury, etc
Your answer
Please describe the accomplishments you are most proud of during high school. *
Minimum 100 word essay
Your answer
Why are you deserving of a scholarship? Minimum 150 word essay *
Please describe your particular circumstances regarding financial need and the impact the scholarship will have on your situation.
Your answer
If a presenter needed to describe you in a few sentences, what would you want them to say? *
EXAMPLE: Monica is going to attend UW-Eau Claire to study education with a focus on Exceptional Education Needs. Her hope is to one day teach at a high school and have a classroom of students as awesome as the 2018 La Follette graduating class! While attending La Follette, she was in Volleyball and was named MVP her sophomore year. Her best memory of La Follette is helping a special needs student during her study hall. She is excited to move forward in the next chapter of her life!
Your answer
Type your name which signifies your approval of the following... *
1. You agree to permit the school to release pertinent application information to the scholarship sponsor and to the press; 2. You agree to send a formal note of thanks to the scholarship sponsor; 3. You agree all information you provided is accurate; 4. All your information will be shared with a school based scholarship committee.
Your answer
Mark AGREE which signifies your approval of allowing LHS to post your photo from the evening on our social media sites. *
A copy of your responses will be emailed to the address you provided.
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