Elite Employment Scholarships

VOTED BEST IN THE COUNTY 7-YEARS IN A ROW!

2015, 2016, 2017, 2018, 2019, 2020, & 2021!!

Address *

Name of Activity / Position / Office Held / Yrs. Participated / Avg. Hours Worked per Month

FINANCIAL NEED SECTION

Parents / Guardians Name(s)

Organizations / Description of Service / Years Participated / Avg. Hours Worked per Month

Place of Employment / Dates of Employment / Hours Worked per Week

Name of Activity / Position / Office Held / Yrs. Participated / Avg. Hours Worked per Month

Date and time

If yes, which one?

Place of Employment / Dates of Employment / Hours Worked per Week

WORK EXPERIENCE

Parent / Guardian #1 Occupatioin

NON-SCHOOL VOLUNTEER ACTIVITIES

Phone Number *

TO BE COMPLETED BY YOUR SCHOOL COUNSELOR

Class Rank

Their age(s)

Name: (Last / First/ M.I.) *

Name of Activity / Position / Office Held / Yrs. Participated / Avg. Hours Worked per Month

Please tell us about yourself, why you deserve a scholarship and where you see yourself in 5 years.

Cumulative GPA

Are you in a vocational program?

List any other training or education that you have taken outside of school and indicate dates taken.

I give permission for my child's name and photo to be used in publications acknowledging that he/she is a scholarship recipient.

Yes

Number of Children currently in college supported by the family.

Please explain your need for financial assistance and any other family information affecting your circumstances.

Parent / Guardian #2 Occupation

What do you intend to do after graduating from high school?

INSTRUCTIONS FOR FILLING OUT THIS APPLICATION

Please answer all questions below. Use N/A if any question is not applicable. If additional space is needed, please attach separate sheets. Include a high school transcript (including senior year courses) and a senior photo or headshot photo with this application. Deadline: June 15th. Return completed application by clicking SUBMIT at the end of this form.

I understand that the district or scholarship committee may use my name and photo in publications if I am a recipient of a scholarship. (The photo will not be used as part of the selection process.)

Yes

PARENT / GUARDIAN SECTION

Organizations / Description of Service / Years Participated / Avg. Hours Worked per Month

Signature *

Organizations / Description of Service / Years Participated / Avg. Hours Worked per Month

Signature of Parent / Guardian *

Place of Employment / Dates of Employment / Hours Worked per Week

I agree to allow the selection committee to see an academic transcript.

Yes

Email: *

SCHOOL ACTIVITIES / SPORTS

Date and time

Number of children in the family (including applicant)

Date and time

I have read the following scholarship application and certify that the information provided is correct.

Yes

Signature *

To qualify: Applicants must be a resident of Ashtabula County and plan to attend a university, technical, trade, or vocational school upon graduation.