Spanish Springs High School Scholarship Common Application Cover Sheet SSHS Student ID Number: Last Name:

First Name:

E-mail Address:

Middle Initial: Cell Phone Number:

Step 1: Complete scholarship application (available on-line 12/13/10) making sure to complete signatures requested below. Step 2: Please attach an unofficial six semester transcript (it does not have to be signed). Please DO NOT attach any letters of reference as they will not be used in the decision making process. Step 3: Please provide answers to the following five essay questions on a separate sheet of paper. Please only list your student ID number at the top of each page (not your name) and type your answers in 12 point font, single spaced. Please limit your responses to 150 words per question. 1) Describe your educational and career goals? 2) What single achievement distinguishes you from your peers and why? 3) What are three of your distinguishing/admirable qualities and which one do you believe separates you the most from your peers and why? 4) Describe a major life experience that has impacted who you are today and why? 5) What one piece of advice would you give to next year’s incoming freshman class (current 8th graders)? Submit steps 1, 2, & 3 to Ms. Taveira in the College and Career Center by Tuesday, February 15th, 2011. Late and/or incomplete applications will not be accepted. NO EXCEPTIONS! Step 4: Complete your 2011/2012 FAFSA after January 1, 2011 at www.fafsa.ed.gov. Once you have received your SAR (Student Aid Report), please submit a copy to Ms. Taveira no later than Tuesday, March 1st, 2011. (Make sure you fill out a 2011/2012 FAFSA, not a 2010/2011 FAFSA).

By signing below, you certify all information given in this application to be accurate and honestly presented.

_____________________________________ Applicant Signature

_____________________________________ Parent/Guardian Signature

Student ID# Household/Financial Information Please explain your living circumstances/who do you reside with?

How many siblings do you have and what are their ages? Including you, how many will be attending college or a post-secondary educational institution next fall?

Referring to the parent(s)/guardian(s) you live with the majority of the time (51% or more); what was their total Adjusted Gross Income on their 2009 tax return? What is the total current net (after taxes) monthly income of your parent(s)/guardians(s)? What is the total amount of your primary household’s monthly bills? Does your custodial parent/guardian plan to contribute to your college tuition/fees? If yes, approximate amount? If you have a non-custodial parent, do they plan to contribute to your college tuition/fees? If yes, approximate amount? Will you receive any financial support from another family member/friend? If yes, approximate amount? Have you received any financial aid/scholarships from other sources? If yes, source(s) and amount? Do you have a currently have a job? If yes, do you anticipate continuing this employment after high school? What is your approximate weekly take home pay? What bills are you responsible for paying with the money you earn? Please state below any unusual or special circumstances which you feel makes it imperative that you have financial aid in the form of a scholarship:

For official use only-do not write in this area: Pell eligible amount: _______________ Student loan amount: __________________ EFC: _________________

Student ID Number College/University Information What college(s) have you applied or will you apply to this year?

Have you already been accepted? If yes, where and do you plan to attend? Not counting room/board, what are the total expenses you will incur for your freshman year (tuition, fees, books, etc.)?

SAT & ACT SAT: If taken more than once, please list the highest score for each subsection Reading

Math

Writing

ACT: If taken more than once, please list the highest score for each section and for the composite score English

Math

Reading

Science

Academic Information Referring to your six semester transcript, please provide the following: Cumulative GPA (Unweighted) Cumulative GPA (Weighted) Class rank Total number of honors courses taken (including this year) Total number of Advanced Placement courses taken (including this year) Please list all classes you will be taking during your senior year

Composite

Student ID# Extra-curricular Activities As you answer the questions below, keep your answers limited to what you have participated in during the past four years. Please make reference to both school sanctioned activities and activities you may have done on your own through church, scouting, city leagues, etc. If a category doesn’t apply to you, please type N/A-do not leave a question blank. Athletics: What sports have you participated in or coached? Please list the sport, where you played and for how many seasons. If you have held a leadership position such as team captain, note that as well.

Activities: What activities/clubs have you participated in? Please list the activity/club you participated in and where. Please also note any leadership roles you may have had.

Volunteer Service: Have you completed any volunteer service? If so, please list the type of volunteer work you have completed, with what group or organization, and how much time was spent volunteering (do not list volunteer service completed for Government).

Awards: Please list any awards or recognitions you have received during the past four years. Please list the name of the award and why you received it.

Work Experience: In this section please list any jobs you have had, how many hours a week you’ve worked, the duration of your employment, and what your duties entailed.

Other: What else have you done during high school that may not fit into any of the above categories that sets you apart from your peers?