2011 Scholarship Application

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The purpose of the PTA Scholarship Awards is to develop student creativity and interest in a wide range of subject areas, to help students build lifelong skills, and to foster student growth as well-rounded individuals. We encourage all students to take advantage of this opportunity. Two recipients per grade will receive scholarship awards. Students may apply in any subject area of interest to them, BUT only one application per student will be accepted. All students in grades 5- are eligible to apply. Applications consist of a Student Application form and !arental Approval form. Answers must be typed double spaced and may not e!ceed "## words. "ack of !arent Approval form dis#ualifies the applicant from further consideration. The awards may be used for instruction, enrichment, materials or e#uipment re#uired to promote growth in the subject area of the award. The !TA Award $ommittee is composed of three teachers four parents and the principal. The committee selects award recipients. %ecipients are chosen on the basis of the enthusiasm and interest in the subject area e&pressed by the student on the application. 'nly the $ommittee $hairperson knows the identity of the applicant until the selection process is completed. $ompleted and signed applications should be returned to the school office in an envelope marked PTA S$%&'A(S%)P APP')$AT)&* by the end of the school day on (riday, )ay *+, ,-**. 'ate applications will not be accepted. All awards will be presented in .une, ,-**. Applications will be posted in each homeroom/home base and in the main office the week of April **, ,-**. 0f you have any #uestions about the scholarships or applications, contact 1laine %osenberger at erose*2,34aol.com or 52- 6 75+-88,3.

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Please note that lack of parent or guardian signature disqualifies the applicant from further consideration of an award. Parent or Guardian: 1. I verify that the award application was completed by my child. 2. If an award is given to my child, I agree to accept the responsibility of establishing suitable use of this award in line with the area of interest for which it was granted. 3. If an award is given to my child, I will ensure that the proceeds of the award are used before eptember 1, 2!11. Parent"Guardian #ame: $Print% &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& Parent"Guardian ignature: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

'ate: &&&&&&&&&&&&&&&&&& tudent #umber: &&&&&&&& $to be completed by the (ommittee (hairperson% tudent #ame: $Print% &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& Grade: &&&&&&& )ddress: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& *ome Phone: $&&&&&% &&&&&&&&&&&&&&&&&&&&&& tudent ignature: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

'ate: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& Completed and signed applications should be returned to the school office in an envelope marked PTA SCHO A!SH"P APP "CAT"O# b$ the end of the school da$ on %rida$& 'a$ ()& *+((. ate applications will not be accepted.

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5This (orm must be completed by the student.6 Answers must be typed, double spaced and may not e!ceed "## words. 9o not put your name on any additional sheets used? each applicant is assigned a student number. Student <umber @@@@@@@@@@@@ 5to be completed by the $ommittee $hairperson6 )y subject area isA@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ 1&amples of subject areasA music, sports, art, photography, dance B these are only suggestions. *. 9escribe any previous e&perience you have in the area for which you are applying.

,. 0f you win an award, how would you use itC

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