2024 FIELD HIGH SCHOOL SCHOLARSHIP FORM

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Complete all required fields and click submit on the bottom.
Note this is for Field High School Students and Field students at Maplewood Career Center

Email *

Name of Applicant *

Phone Number *

what kind of phone *

Cell (accepts Text)

Cell (No Text)

Home

Yours

Your Parents

Other:

Required

High School *

Gender *

Male

Female

Graduation Year *

Your Address (Street, City, State, Zip) *

Father's Name *

Father's Address (Street, City, State, Zip) *

Father's occupation *

Mother's Name *

Mother's Address (Street, City, State, Zip) *

Mother's Occupation *

List name, age and grade of siblings

If any siblings are in college is their tuition paid? *

Yes

If so by what means

Please state your grade point average *

College or trade school you plan to attend *

Course of study, if known

Additional scholarships you have received

Will your tuition be paid by any other means? If so please explain. *

List current clubs/activities in which you are involved. How many hours a month are you involved? *

Do you work? If so, where and how many hours a month? *

List any current volunteer work you do and how many hours are volunteered a month. *

Are you a Field Leo? (Youth group sponsored by the Brimfield Lions?) *

Yes

Former Leo - No longer active

List any awards or other recognition you have received during your high school years and the years received. *

Send me a copy of my responses.

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