Northwest High Magnet School Scholarship Application Form
Class of 2019 Application Deadline: December 14, 2018
Email address *
First Name *
Last Name *
Student Number *
Address *
City *
State *
Zip Code *
Phone Number *
Do you work? *
If yes, how many hours per week?
What is your hourly wage?
Current Employer?
Will you work during college? *
Mother's Name
Mother's Employer
Mother's Occupation
Mother's Gross Pay Per Year
Father's Name
Father's Employer
Father's Occupation
Father's Gross Pay Per Year
Step Parent's Name
Step Parent's Employer
Step Parent's Occupation
Step Parent's Gross Pay Per Year
Guardian Name
Guardian's Employer
Guardian's Occupation
Guardian's Gross Pay Per Year
Total Household Income Per Year *
The student currently lives with: *
Ethnic Origin *
Religious Affiliation
List all children, including yourself, receiving financial support from your parents. Include name and age. *
How many family members will be in college next year? *
List any dependents you have
Approximately how many hours of volunteer work have you completed? *
List your volunteer activities.
Please write a paragraph describing your financial need. Include any unusual family or personal circumstances. Note any recent changes within the last year, which would have a significant impact on your financial need. *
My First Choice Major is *
My Second Choice Major is *
1. College Choice *
2. College Choice *
3. College Choice
Have you been offered a scholarship? *
If yes, include college and the amount.
List three Northwest staff members who will attest to your character. *
List chronologically all elementary and middle schools attended (Grades 1-8).
Please upload your Student Aid Report (SAR) or College Funding Estimator *
Please upload your resume. *
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