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MANCHESTER ESSEX REGIONAL SCHOOL DISTRICT SCHOLARSHIP APPLICATION (CLASS OF 2017)
ELIGIBILITY: Acceptance to a four-year or two-year college, technical institute, post graduate school or other educational program beyond high school by May 1st and on track to graduate from Manchester Essex Regional High School on June 2, 2017.

INSTRUCTIONS: Please complete this scholarship application and provide a copy of your college's financial aid award letter (if applicable) to the MERHS Department of Guidance and College Counseling no later than Friday, April 7, 2017. Financial aid award letters can be emailed to Ms. Carlson at carlsonl@mersd.org or delivered to the Guidance Office.

Last Name *
Your answer
First Name *
Your answer
Please indicate your town of residence. *
Which college or school will you be attending? *
If undecided, list you top two choices.
Your answer
What course of study or major do you plan to pursue? *
Your answer
High school GPA (MERHS scale) *
Your answer
List academic distinctions or honors you have received since the 9th grade. *
Your answer
Activity/Position/Leadership
List your primary extracurricular, volunteer, and work activities in order of importance to you.
#1 Activity/Postion/Leadership
Your answer
#1 Activity/leadership years of participation
#2 Activity/Postion/Leadership
Your answer
#2 Activity/leadership years of participation
3 Activity/Postion/Leadership
Your answer
3 Activity/leadership years of participation
4 Activity/Postion/Leadership
Your answer
4 Activity/leadership years of participation
5 Activity/Postion/Leadership
Your answer
5 Activity/leadership years of participation
Briefly describe the specific ways in which furthering your education will help you achieve your personal and career goals. *
Your answer
Personal Information
Name of Parent(s)/Guardian(s) *
Your answer
Parent/Guardian occupation(s) *
Your answer
Applicant lives with: *
Required
Parents separated or divorced *
Mother/father deceased? *
Number of other children currently enrolled in college.
Your answer
Please list name of school(s)/colleges(s) your siblings attend and if they are receiving financial aid (yes/no)
Your answer
Have you applied for financial aid at your intended college/school? *
Estimated cost of your college/school: room, board, tuition, books, transportation and other expenses for the 2017-2018 academic year. *
Your answer
Please share information about your financial status that may help the committee in considering your student's application. Please be as clear and complete as possible. Feel free to email Ms. Carlson a more detailed letter. *
Your answer
Parent/Guardian Certification
Parent/Guardian Certification: I have checked this application for omissions and errors. *
Parent/Guardian: By typing your name you agree to the above.
Your answer
Relationship to student *
Your answer
Manchester Essex Regional School District Policy
The Manchester Essex Regional School District does not discriminate in its scholarships, programs, activities or employment practices based on race, color, age, national origin, religion, gender, sexual orientation or disability.
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