Middletown High School - Middletown City School District

Middletown High School Scholarship ApplicationName of Scholarship _______________________________________________________Name: ________________________________Phone Number __________________Address: ________________________________________________________________Name(s) of Parents/Guardians: ______________________________________________Occupation(s) of Parents/Guardians: __________________________________________Estimated Family Gross Income: _____________________________________________Number of children in family and ages: ________________________________________Number of children who will be attending college/trade school next year: _____________Are you employed? Y N Where? _______________________________________College/School you plan to attend: ____________________________________________What do you plan to study? _________________________________________________What are your plans for after college? __________________________________________How do you plan to pay for your college expenses? _______________________________________________________________________________________________________________________________________________________________Scholarships you’ve already been awarded and amounts: ___________________________________________________________________________________________________________________________________________________________Please attach a list of your school and community activities, honors or awards received.Attach a brief essay as to why you feel you should be a scholarship winner. Include any family or personal circumstances that you feelshould be considered.23 Scholarship Guide 2011/2012