draft of new scholarship app

Before you begin the form, write your two application essays and prepare them in PDF format to be uploaded. One way to convert an essay to PDF is to use a computer's "print to PDF" option. If you use Google Doc as an online editor, you can download your essay in PDF format under the 'File' options.

The 2018 Scholarship Essays are:

Essay 1: Select an issue concerning voting rights or practices and briefly tell us your thoughts about it.
Essay 2: Choose a recent civic, national or world event and briefly describe your thoughts about it.

Please fill out the form below. All information submitted is confidential and for the sole use of the Scholarship Committee.

Additionally, a recommendation from a teacher or school representative is required to complete your application. Please have a teacher or school representative use this form [LINK] to submit a recommendation indicating why he/she believes you would be a fitting recipient for the Winona Smith Scholarship Award.

Name *

Name of Scholarship Applicant

Parents' Names *

Please enter names of your parent(s) or legal guardian(s).

Postal Address *

Town of Residence *

High School *

Telephone Number *

Email *

Email address where the scholarship committee can communicate with the student applicant.

Parent's Occupation *

Please enter the occupation of one of your parents, such as the occupation of your father.

Other Parent's Occupation *

Please enter the occupation of a second parent, such as the occupation of your mother.

Immediate Family Members with Ages of Siblings *

Unusual Family Expenses

What major(s) and/or career paths have you considered? *

At what schools have you been accepted?

How will you finance your future education? *

Please list type and duration of recent jobs and volunteerism *

Please list other extracurricular activities *

Please upload your essay concerning voting rights or practices *

Select an issue concerning voting rights or practices and briefly tell us your thoughts about it. Upload your essay as a PDF format
Files must be less than 2 MB.
Allowed file types: pdf.

Please upload your essay concerning a recent civic, national, or world event *

Choose a recent civic, national or world event and briefly describe your thoughts about it. PDF format only.
Files must be less than 2 MB.
Allowed file types: pdf.

Leave this field blank

CAPTCHA

Please confirm you are human to prevent spam submissions.