MCPA John D. Conner III Memorial Scholarship Application

MCPA John D. Conner III Memorial Scholarship Application

OHS Student 2024
Personal Information
Full Name*

First NameMiddle NameLast Name
Date of Birth*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information*
Email Address
*
Telephone Number

Parent/Guardian #1
Name and Contact Information*

First NameLast NameTelephone Number
Relationship*
Occupation*
Parent/Guardian #2
Name and Contact Information*

First NameLast NameTelephone Number
Relationship*
Occupation*
Household Members
Name*

First NameGrade as of 2023 - 2024 School Year
Name*

First NameGrade as of 2023 - 2024 School Year
Name*

First NameGrade as of 2023 - 2024 School Year
Name*

First NameGrade as of 2023 - 2024 School Year

Academic Information
Name, city, and state of the postsecondary school you are attending or plan to attend:*
School Name, City, State
Type of Institution*

4-year College/University2-year College/Junior CollegeVocational/Technical/TradeOther
If 'Other' Institution, Please Specify*
Major Course of Study (if known)*
Expected HS Graduation Date *
Cumulative Grade Point Average (GPA)*
Round GPA to nearest hundredth (Ex. 3.54)
Degree Sought*

AssociateBachelor'sGraduateCertificateOther
Academic Activities / Clubs
List all academic, extracurricular activities, and/or employment in which you have actively participated during the last four years. If necessary, please use additional space provided on page five. *
Please type 'N/A' if not applicable
List any leadership position(s) held in academic/extracurricular and/or employment activities*
Please type 'N/A' if not applicable
Community Service
List all community service activities in which you have actively participated the last four years. If necessary, please use additional space provided on page five.*
Please type 'N/A' if not applicable
List any leadership position(s) held in community service activities*
Please type 'N/A' if not applicable

Essay
DIRECTIONS:

Select ONE of the following writing prompts and, in your own words, provide your response in a separate document. The essay must be double-spaced, using one inch margins, a professional font style at size 11 and not exceeding two pages in length. Do not include your name or any other statements that could identify the applicant.
1. Why do you want to pursue a college degree? And how will this scholarship help you?
2. How have you contributed to your community?
3. How would you solve the issue of truancy?
Upload your essay here when completed

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Academic Activities/Clubs (Additional Space)
List all academic, extracurricular activities, and/or employment in which you have actively participated during the last four years. If necessary, please use additional space provided on page five.
Please type 'N/A' if not applicable
List any leadership position(s) held in academic, extracurricular activities, and/or employment.
Please type 'N/A' if not applicable
Community Service (Additional Space)
List all community service activities in which you have actively participated the last four years. If necessary, please use additional space provided on page five.
Please type 'N/A' if not applicable
List any leadership position(s) held in community service activities
Please type 'N/A' if not applicable
Honors and Awards (Additional Space)
Honor/Award & Granting Authority
Please include the awarded year(s)
Type of Organization
Honor/Award & Granting Authority
Please include the awarded year(s)
Type of Organization
Honor/Award & Granting Authority
Please include the awarded year(s)
Type of Organization
Honor/Award & Granting Authority
Please include the awarded year(s)
Type of Organization
Should be Empty:

MCPA John D. Conner III Memorial Scholarship Application

Personal Information

Parent/Guardian #1

Parent/Guardian #2

Household Members

Academic Information

Academic Activities / Clubs

Community Service

Honors and Awards

Military Experience and Public Service

Personal Acknowledgement

Essay

Academic Activities/Clubs (Additional Space)

Community Service (Additional Space)

Honors and Awards (Additional Space)