WriteOut Camp 2019 Scholarship Application
Due April 15th, 2019
Full Name
Your answer
Permanent Mailing Address
Your answer
Email address
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Name of applicant's high school
Your answer
City and state where high school is located
Your answer
Please list the name, phone number, and email address of three references--people who can tell us how awesome you are. Two of them need to be teachers you have now or have had in the past. REFERENCE 1
Your answer
REFERENCE 2
Your answer
REFERENCE 3
Your answer
Current GPA (grade point average)
Your answer
How many parents/guardians do you currently live with?
What is the highest level of education parent/guardian 1 has achieved?
What is the highest level of education parent/guardian 2 has achieved?
Which kind of writing would you prefer to work on during our workshop? Pick your top two and we'll do our best to line you up with one of your options.
*For the next three questions, we'd like you to write complete sentences and paragraphs. Keep your answers to around 200 words. Please draft your answers in a separate program (like Microsoft Word or Google Drive) and cut and paste them here. Question #1: Describe a challenge you faced in your life (disability, financial hardship, personal challenges) that has influenced the way you think and write.
Your answer
#2: Describe a recent experience in school when you learned something that impressed you, influenced you, and/or empowered you.
Your answer
#3: Think of a time when you made a mistake. Describe the experience in as much detail as you can. Then explain what you learned from the experience. Imagine you are writing to a close friend.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service