Spring Creek Scholarship Program
 

THE SPRING CREEK TOWERS
Community College Scholarship Award

**Include your name in the documents you upload. Do not use spaces in your document titles.

Applicant Information
First Name:
Last Name:
Middle Name:
Gender: Female Male
Birth Date (month / day / year):
Address 1:
Address 2:
City:
State:
Zip:
Cell Phone:
Home/Alternate Phone:
Email: ***REQUIRED**
Parent/Guardian Email:
Password: ***REQUIRED**
How long have you lived in Spring Creek Towers?: Years Months

Family Information
Father’s full name:
Address if different from student:
Father's Phone:
Mother’s full name:
Address if different from student:
Mother's Phone:
Legal Guardian:
Address if different from student:
Legal Guardian's Phone:
AGREEMENT
We certify that all information contained in this application is true and factual. We also agree that if the applicant is awarded a Spring Creek Towers/Spring Creek Community Corp. “Community Service & Academic Achievement” Award, Spring Creek Towers may use applicants’ name and likeness and/or any other information or materials provided by applicant in connection with this program, including his/her photograph(s) for the purposes of news, publicity and advertising in all media, including print photographs.
Signature Applicant:
Repeat Password:
Signature Parent Guardian:
Signature Applicant Date:

School Information
High School:
High School Address:
High School Phone:
What is your current Grade Point Average?:
Submit a copy of your most recent high school transcript:
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How did you hear about this scholarship?:
Academic History
 
List all High School Honor/AP Classes:
 
 
 
 
 
List all colleges or universities that you have been accepted to.:
 
 
 
 
 
Will you receive any financial scholarship and/or other financial aid towards your college expenses?:
 
 
 
Career choices you are considering:
 
 
 
 
 
COMMUNITY SERVICE/SCHOOL ACTIVITIES SUMMARY
1. Answer the following questions in the space provided.
2. Additionally, please submit a completed Service Performance Evaluation and Verification Form for each volunteer service/school club/sports activity submitted. Please reproduce this section of the application for each community service activity.
Name of organization where you performed volunteer service:
Performance Evaluation & Verification Form:
*
Download and scan and upload completed form
**Include your name in the documents you upload. Do not use spaces in your document titles.
Upload
Approved Organization:
Address:
Phone:
Contact:
Activity/Name of Organization:
Short description of your involvement:
Start/end dates:
Hours per Week:
Total hours:
What role did you play in the service activity?:
What were the results? (Please submit a volunteer
service evaluation for each organization served.):
Describe what you got out of the experience.
What did you learn from working with the organization; what new skills did you acquire and what was the most memorable part of the volunteer service. Also, include what you would tell other young people about your experience.:


Name of organization where you performed volunteer service:
Performance Evaluation & Verification Form:
*
Download and scan and upload completed form
**Include your name in the documents you upload. Do not use spaces in your document titles.
Upload
Approved Organization:
Address:
Phone:
Contact:
Activity/Name of Organization:
Short description of your involvement:
Start/end dates:
Hours per Week:
Total hours:
What role did you play in the service activity?:
What were the results? (Please submit a volunteer
service evaluation for each organization served.):
Describe what you got out of the experience.
What did you learn from working with the organization; what new skills did you acquire and what was the most memorable part of the volunteer service. Also, include what you would tell other young people about your experience.:


Name of organization where you performed volunteer service:
Performance Evaluation & Verification Form:
*
Download and scan and upload completed form
**Include your name in the documents you upload. Do not use spaces in your document titles.
Upload
Approved Organization:
Address:
Phone:
Contact:
Activity/Name of Organization:
Short description of your involvement:
Start/end dates:
Hours per Week:
Total hours:
What role did you play in the service activity?:
What were the results? (Please submit a volunteer
service evaluation for each organization served.):
Describe what you got out of the experience.
What did you learn from working with the organization; what new skills did you acquire and what was the most memorable part of the volunteer service. Also, include what you would tell other young people about your experience.:

Employment History
Employer:
Short description of your position and responsibilities:

Start/end Dates:

Hours Per week:



Employer:
Short description of your position and responsibilities:

Start/end Dates:

Hours Per week:



Employer:
Short description of your position and responsibilities:

Start/end Dates:

Hours Per week:



Employer:
Short description of your position and responsibilities:

Start/end Dates:

Hours Per week:


Essay
Please submit an essay (500 word minimum) on one of the options listed below. This personal essay helps us become more acquainted with you as a person and student, apart from courses, grades, test scores, and other objective data. It will also demonstrate your ability to organize your thoughts and express yourself.
• Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its impact on you.
• Indicate a person who has had a significant influence on you, and describe that influence.
Essay:
**Include your name in the documents you upload.
Do not use spaces in your document titles.
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