Newburgh Free Academy Senior Scholarships Application

STUDENT INFORMATION
Student Name*	F: L:	Student ID*
Address	Zip:	Grad Year
Email
Middle School Attended*		Counselor Name*
SAT Scores		ACT Scores

FAMILY INFORMATION
Name of Parent(s)/Guardian(s)
Occupation of Parent(s)/Guardian(s)
Estimated Gross(Total) Family Income
Number of children in family		Ages
Number of children who will attend college next year

FUTURE PLANS
Briefly describe your higher education and/or vocational goals

List college/trade schools you have applied to
List college/trade school you hope to attend:
What will you study*
If you are not going right onto college/trade school what is your plan?

FUTURE PLANS
How do you plan to pay for you college/post-secondary expenses?
Grants Loans Other Scholarships Family/Savings Other:
What is your estimated yearly college expense?

Please list the scholarship/award money you have already received to date from colleges and or private scholarships

COMMUNITY SERVICE
ORGANIZATION	POSITION HELD	LENGTH OF INVOLVEMENT	TOTAL HOURS INVESTED

EMPLOYMENT HISTORY
LOCATION	POSITION HELD	LENGTH OF INVOLVEMENT	HOURS PER WEEK

HIGH SCHOOL EXTRACURRICULAR ACTIVITIES
Describe your extracurricular activities. Can include clubs, sports, societies, awards, etc.
ACTIVITY	SPORT/CLUB/OTHER	GRADE LEVEL	LEADERSHIP ROLE/AWARD (If applicable)

REFERENCES
References can be any non-family member. This includes a teacher, counselor, administrator, employer, pastor, etc.
NAME	RELATIONSHIP	PHONE/EMAIL