Student Scholarship Form To apply for a scholarship to attend the Workshops, fill out this form, including the essay at the bottom of the page. Please submit this form before June 1 with registration and medical forms. Scholarship applications will not be considered without the other forms.
Applicant's First Name: Last Name: Street Address: City: State: Zip: Home Phone: Email Address: Birth date: Student's gender: female male Student's year of graduation 2007 2008 2009 2010 2011 2012 (Students who have just completed grades 8, 9, 10, 11 or 12 may attend the Workshops.)
Limited scholarships are available. Please complete the following information. It will assist us in determining eligibility for the scholarships available through our office. Failure to provide information may result in denial of scholarships.
Ethnicity: Caucasian African/Black American Alaskan American Asian American Latino/Hispanic American Indian (Tribal Affiliation: ) Other Parents/Guardians yearly income: Family size: Did either of your parents attend college? yes no
Other information that you would like to provide concerning your financial need for this scholarship:
Which workshop do you hope to attend? Newspaper Yearbook Photojournalism Broadcast Publication Design and Redesign Web Site Design How much support are you requesting? Do you plan to attend the Workshops if a scholarship is not available for you? yes no
In a 500-word or less essay, please explain why we should select you as the recipient of a scholarship to attend this summer's High School Journalism Workshop. In order to have a copy of your essay for yourself, we recommend that you type it in a word-processing program first and copy it into this space.
