Dr. Michael Riley Memorial Scholarship Application
The Bellevue PTSA Council offers the Dr. Michael Riley Memorial Scholarship to one high school senior at each of the six Bellevue School District high schools to recognize academic excellence. The scholarship amount is $1,000.00 and will be paid directly to the U.S. college or university that the recipient is attending to cover the cost of tuition or room & board. Applicants will be evaluated by PTA members in Bellevue PTSA Council Scholarship Committee.

In email with student name, high school and scholarship name in subject line, attach as one PDF a scanned copy of the documents requested to bpcscholarshipcommittee@gmail.com. Unofficial copies are acceptable. Letters of recommendation can be scanned and emailed by applicant or emailed directly to scholarship committee by teacher (must reference student name, high school name and scholarship name in subject line). Letter of recommendation previously written for applicant's college applications can be submitted. New letters are not required.

Application deadline for 2018-19 school year is April 26, 2019 at 11:59 pm.

Email address *
High School Attending *
Name (last name, first name) *
Mailing Address *
Email Address *
Phone Number *
Parent 1 Name *
Parent 1 email address *
Parent 2 Name (if applicable)
Parent 2 email address (if applicable)
Name of College or University Attending in Fall 2019 *
Proposed Major or Area of Study
GPA (attach scan of high school transcript) *
SAT or ACT Score (attach scan of test transcript) *
Describe your activities/interests in high school (ASB, Music, Sports, Clubs, etc.). *
Describe your activities/interest in the community (include work experiences, volunteer, church, clubs, etc.). X2VOL volunteer hours transcript may be sent by email to bpcscholarshipcommittee@gmail.com. *
List awards, honors, other special achievements. *
Describe how higher education will affect your future goals. *
Describe what impact the scholarship funds will have on you and your college plans.
Describe challenges encountered and overcome during your academic career.
ESSAY: Applicant has option to use essay from college application that best describes you (under 2 pages) or answer the following: Share an experience that illustrates your passion for academics, and describe your plans for pursing your interests and passions in the future. (no more than 2 pages). *
Name and email address of teacher, mentor, counselor, or supervisor providing letter of recommendation. (Letter of recommendation previously written for applicant's college applications can be submitted). *
Name and email address of second teacher, mentor, counselor or supervisor providing letter of recommendation. (Letter of recommendation previously written for applicant's college applications can be submitted.)(optional)
Applicant certifies that replies to all foregoing statements are true and accurate to the best of his/her knowledge. Also, applicant agrees that if he/she is the recipient of the scholarship and does not use the scholarship money for the intended purposes (tuition, text books, room and board) by January 1, 2020 OR if receives a full scholarship from another source by that date, the recipient shall return the funds to the Bellevue PTSA Council’s scholarship fund. *
Required
A copy of your responses will be emailed to the address you provided.
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