Shawna E. Shea Memorial Scholarship Application Form

The Shawna E. Shea Memorial Foundation Scholarship honors the memory of Shawna Shea, who at 16 tragically lost her life in an automobile accident in 1999. The Shawna Foundation Scholarship is awarded annually High School graduates who exhibits Shawna’s character and personality—qualities that made her unique and left a lasting impact on everyone she touched in her short life here on Earth. Those qualities are best described in a poem written by her father Skip Shea entitled, “She Rode Her Own Wave.” It begins with these words:

She Rode Her Own Wave
   inviting any and all on,
   but never drifting off on others.
It was a large wave
with a direct route to the shore
passing us as the undertow
pulls us further out.

Shawna’s family believes that she would always want to help her friends and anyone who lives on the margins of life, who rides their own wave and yet deserves everything beautiful that life can give.

We offer three separate $1,000 scholarships:

1. The Shawna E. Shea Memorial Scholarship. The original scholarship established in 2001 shortly after Shawna passed away.

2. The Shawna E. Shea Scholarship in Memory of Michael Liberty. This scholars was added following the untimely passing of Shawna's cousin Michael.

3. The Shawna E. Shea Nursing Scholarship in Memory of Alana Phoenix. Alana was Shawna's sister and passed away after suffering from ALS at a young age. Alana was a nurse, wife, mother, and devoted sister to Shawna and her surviving sisters Erin (her twin) and Kristin. This scholarship is for high school graduates accepted to nursing school.

GENERAL APPLICATION ELIGIBILITY:

1. Applicant must be an Graduating High School Senior.

2. Applicant must have acceptance to an institution of higher learning, with special consideration to graduates who will be attending a community college or technical school.

3. Applicant must include GPA; a 500-word explaining why they are seeking the scholarship; and household income as indicated in the form below.

To honor Shawna, the family considers other aspects that reflected her life. We encourage students with average grades but with higher aspirations to apply. Students whose total gross household income of less than $75,000 will be given priority consideration.

PLEASE REMEMBER TO INDICATE WHICH SCHOLARSHIP YOU ARE APPLYING FOR.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Date of birth

Date

Gender

MaleFemaleOther

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

High School Name

High School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current Grade Level

FreshmanSophomoreJuniorSenior

Expected Graduation Date

Date

Cumulative GPA

To what schools/colleges/universities have you been accepted?

Which scholarship are you applying for

Shawna E. Shea Memorial ScholarshipShawna E. Shea Scholarship in Memory of Michael LibertyShawna E. Shea Nursing Scholarship in Memory of Alana Phoenix

Why are you applying for this scholarship?

Essay (500 words)

List your extracurricular activities, including sports, clubs, and organizations:

	Name	Position/Role	Duration
Activity 1
Activity 2
Activity 3

List your community service activities and volunteer work

	Organization	Position/Role	Duration
Activity 1
Activity 2

List any awards or honors you have received

	Name	Description	Date
Award 1
Award 2

Parent/Guardian Name

First NameLast Name

Parent/Guardian Occupation

Household Income

Less than $20,000$20,000 - $50,000$50,000 - $100,000More than $100,000

Personal Reference

	Name	Position	Contact Information
Reference

Applicant's Declaration

I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in the disqualification of my application.

Applicant's Signature

Date signed

Date