Get National Actra Scholarshipo Announcement Apllication

4710 William Ave Winnemucca NV 89445 775-304-5433 National ACTRA Scholarship Announcement Application for ACTRA Members or Immediate Family Members Son Daughter Grandchildren 2014 Academic Year Return National Application to Winnemucca NV 89445 If selected for scholarship you must provide proof of registration. Send to Heidi Fettic PERSONAL INFORMATION Last Name First Name Middle State Zip Code Date of Birth SSN Are any of them currently in college Ages Permanent mailing address number and street City Telephone number w/ area code Mother s name employer Other children living at home FUTURE PLANS List the Colleges or Universities to which you plan to apply What major do you plan to pursue SCHOOL ACTIVITIES Activities such as Spirit Club DECA FFA Etc. SCHOOL YEAR Major Office Held/ Year s Held Hours/Year and Significant Contributions SPECIAL RECOGNITION OR HONORS Special Recognition or Academic Honors or other special achievements for which singled out e.g. Honor Society National Science Fair Westinghouse Science Talent Search etc. Description of what you did to earn recognition EMPLOYMENT AND/OR SUMMER ACTIVITIES Please list each activity only once and ensure that activities not listed are in the ACTIVITIES section. Average Hours per week worked Weeks per year VOLUNTEER COMMUNITY ACTIVITIES Organized volunteer community or other activity not sponsored by high school e.g. Scouts 4-H music Candy Stripers leadership in church or other community Organizations. Avg Hours per week contributed Length of Membership in weeks EDUCATIONAL RECORD Schools Attended grades 9 through 12 Name of School Address Please attach a certified copy of your High School and/or College transcript. Clearly indicate all courses which are Honors or Advanced Placement programs. Be sure all materials are legible. Avg Hours per week contributed Length of Membership in weeks EDUCATIONAL RECORD Schools Attended grades 9 through 12 Name of School Address Please attach a certified copy of your High School and/or College transcript. Clearly indicate all courses which are Honors or Advanced Placement programs. Be sure all materials are legible. ESSAY Please prepare an essay of not more than 300 words. It should summarize school and extracurricular activities and accomplishments the applicant s goals and objectives for higher education and how the scholarship will assist accomplishing those goals. Please utilize the space below and the back side of this page if necessary to write your essay. The essay may be either typed or hand written but must be legible. The recipients may be asked to provide a photograph for use in publications and newspapers for I certify that all statements in the foregoing application are true and correct. Avg Hours per week contributed Length of Membership in weeks EDUCATIONAL RECORD Schools Attended grades 9 through 12 Name of School Address Please attach a certified copy of your High School and/or College transcript. Clearly indicate all courses which are Honors or Advanced Placement programs. Be sure all materials are legible.