Scholarship Apply Form

High School Scholarship Profile

The information provided on this form will be used by the PVHS Counselors to assist you in the search for scholarships.
Advisory Teacher
Basic Information
Full Name *

First Name Last Name
Student ID *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone *
Cell Phone
Primary email *
Check your email frequently for scholarship opportunities.
Academic Information
GPA *
Have you taken the SATs? *
Have you taken the ACTs? *
What are your plans after high school? *
Schools to which you will be applying

List schools in order of preference.
First Choice
Second Choice
Third Choice
Fourth Choice
Majors you are Considering

List majors in order of preference.
Major 1
Major 2
Major 3
Personal Information
Are you a U.S. Citizen? *
Ethnic Background *
City and State of Birth *
Did your parent(s) graduate from college? *

Yes No
Does one of your parents work in the strawberry fields? *

Yes No
Where is your father/guardian employed? *
Where is your mother/guardian employed? *
Household Income is under: *
Select your parents' adjusted gross income for the previous year.
Household Size *
Only include family members your parent(s) are supporting financially.
Activities & Experiences
Did you participate in school activities/clubs? *

Yes No
Did you participate in sports? *

Yes No
Did you participate in community service or volunteering activities? *

Yes No
Do you have work experience? *

Yes No
School Activities/Clubs

List school activities/clubs you have participated while attending high school.
School Activities/Clubs
Name of Activity, Office held, Grade level
Sport Participation

List sports you have participated while attending high school. If you need additional space include information under "Additional Sports."
Sport Participation
Name of Sport, Sport level, Grade level
Community Services and/or Volunteering Activities

List community services and/or volunteering you have participated while attending high school.
Community Service/Volunteering
Name of organization, # of hours volunteered, Duties
Work Experience

List all work experiences.
Work Experience(s)
Employer, Length of time employed, # of hours worked per week
Additional Information
Are there any special circumstances that may make you eligible for a scholarship?
Examples: Overcoming obstacles, AB540 student, ineligible for State & Federal financial aid, disabled sibling or parent.
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High School Scholarship Profile

Basic Information

Academic Information

Schools to which you will be applying

Majors you are Considering

Personal Information

Activities & Experiences

School Activities/Clubs

Sport Participation

Community Services and/or Volunteering Activities

Work Experience

Additional Information