City of Somerville Municipal Scholarship

City of Somerville Municipal Scholarship

2025 Application
Legal First Name*
Legal Last Name*
Preferred Name
Email (Personal, Non-School)*

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.
Primary Home Street Address*
Primary Home City *
Primary Home Zip Code*
Ethnicity: Are you Hispanic or Latino?*

YesNo
Ehnicity: Select one or more of the following*

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhiteOther
Ethnicity
Gender Identity

Academic Information
Please request that your school sends your transcript to the City of Somerville through scholarship@somervillema.gov. Do you agree?*

I agreeI do not agree
Transcript

Cancelof
Official Transcripts can be sent via your guidance counselor to scholarship@somervillema.gov.
By submitting your application, you have given the Somerville Municipal Scholarship Committee to request your transcript:*

I consentI do not consent
What is your GPA?
What is the name of your school counselor?
Please list your school counselor's email address:
example@example.com

Financial Aid Review
What is your household annual income? (including custodial parents)(Required)*

Below $75,000$75,000-$124,999$125,000-$174,999$175,000 or more
For families with multiple households, please include a combined annual income.
Did you complete a FAFSA? (Required)*

YesNo
Student Aid Index - SAI: (from MASFA or FAFSA) (Required)
What is your SAI? *
Is there any additional information you want to share about financial need? (Optional)

Leadership and Awards

Please enter all awards, honors, or offices you've received for this activity.
Example: Name: Robotics team - first place award. Description: Team lead. Year: Senior.
Name 1:
Description 1:
Year 1:
Name 2:
Description 2:
Year 2:
Name 3:
Description 3:
Year 3:
Name 4:
Description 4:
Year 4:
Name 5:
Description 5:
Year 5:

Somerville Municipal Scholarship Questions
500 words - How would these funds help you achieve your post-high school goals?
500 words - Describe a significant challenge you have faced or an obstacle you have overcome. How did this experience shape who you are today? What did you learn about yourself, your circumstances, or your community through this experience
500 words - What has been your Somerville education experience? Who or what has inspired you?
Should be Empty:

Academic Information