Caddo Career and Technology Center

Caddo Career and Technology Center

2024-2025 Scholarship Application Form
Name

First NameLast Name
Date of Birth:

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Alt. Phone

Area CodePhone Number
Email Address:
example@example.com
Student Number
Parent(s)/Guardian Name:
Home School
Courses Taken at CCTC: Include courses taken at a Summer Jump Start Program.
Freshman Year:
Enter Summer Jump Start Courses and Year Here:
Sophomore Year:
Sophomore Year:
Junior Year:
Junior Year:
Senior Year:
Senior Year:
Select Plans After High School:

Technical SchoolCommunity College4-yr College/University
Post-secondary school/program you wish to attend:
In which field do you plan to specialize?
Explain how your CCTC classes have prepared you for your future education, employment or career:
The nominee should list all school, club, civic, church, sports activities and honors since 9th grade. Include offices held. Group all honors and activities into the following categories (attach a separate sheet if needed):
Leadership:
Citizenship/Work Experience:
Honors/Awards:
Extracurricular:
Hobbies/Interests:

______________________________

Student Signature

______________________________

CCTC Teacher Signature

______________________________

Principal Signature

This completed form, along with your portfolio (including resume'), three (3) letters of recommendation (can be from your principal, teachers, pastor, community leader, employer, etc.), on letterhead, CCTC involvement form and Letter of Introduction, should be returned to the principal's office at the address below.
Harold Berg, Principal | Caddo Career & Technology Center | 5950 Union Avenue | Shreveport, LA 71108

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