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If not living with parents, explain and give name and address of guardian or nearest relative. Write "n/a" if this does not apply to you. |
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| 11. |
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List and number SCHOOL-RELATED ACTIVITIES in which you participated during your freshman year. Format EXACTLY as example. Write "none" if you had no school-related activities freshman year.
Example:
1. Basketball/Team Member (freshman team)
2. Student Senate/Group Member
3. Best Buddies/Group Member |
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| 12. |
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List and number SCHOOL-RELATED ACTIVITIES in which you participated during your sophomore year. Format EXACTLY as example. Write "none" if you had no school-related activities sophomore year.
Example:
1. Basketball/Team Member (JV)
2. Student Senate/Secretary
3. Best Buddies/Group Member
4. Math Team/Group Member |
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| 13. |
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List and number SCHOOL-RELATED ACTIVITIES in which you participated during your junior year. Format EXACTLY as example. Write "none" if you had no school-related activities junior year.
Example:
1. Basketball/Team Member (JV)
2. Student Senate/Junior Representative
3. Best Buddies/Group Member
4. Robotics/Group Member |
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List and number SCHOOL-RELATED ACTIVITIES in which you participated during your senior year. Format EXACTLY as example. Write "none" if you had no school-related activities senior year.
Example:
1. Basketball/Team Member (Varsity)
2. Student Senate/Group Members
3. Best Buddies/Secretary
4. Robotics/Group Member
5. Principal's Group/Group Member |
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| 15. |
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List and number OUTSIDE OF SCHOOL activities in which you participated during your freshman year. Format EXACTLY as example. Write "none" if you had no outside of school activities freshman year.
Example:
1. Boy Scouts/Member
2. Piano Lessons/Participant
3. 4-H/Member |
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List and number OUTSIDE OF SCHOOL activities in which you participated during your sophomore year. Format EXACTLY as example. Write "none" if you had no outside of school activities sophomore year.
Example:
1. Boy Scouts/Member
2. Piano Lessons/Participant
3. 4-H/Member |
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| 17. |
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List and number OUTSIDE OF SCHOOL activities in which you participated during your junior year. Format EXACTLY as example. Write "none" if you had no outside of school activities junior year.
Example:
1. Boy Scouts/Member
2. Piano Lessons/Participant
3. 4-H/Member
4. YMCA Youth in Government/Member |
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| 18. |
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List and number OUTSIDE OF SCHOOL activities in which you participated during your senior year. Format EXACTLY as example. Write "none" if you had no outside of school activities senior year.
Example:
1. Boy Scouts/Eagle Scout
2. Piano Lessons/Participant
3. 4-H/Member
4. YMCA Youth in Government/Secretary |
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List and number VOLUNTEER activities in which you participated during your freshman year. Estimate the number of hours for each service performed and indicate whether you were a participant (P), organizer (O), or both (B). *Mission trips are 8 hours a day. Write "none" if you did not have any volunteer activities freshman year. Format EXACTLY as example.
Example:
1. Soup Kitchen/15 hours/P
2. Mission Trip/24 hours (3 days)/P
3. Crop Walk/6 Hours/O |
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| 21. |
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List and number VOLUNTEER activities in which you participated during your sophomore year. Estimate the number of hours for each service performed and indicate whether you were a participant (P), organizer (O), or both (B). *Mission trips are 8 hours a day. Write "none" if you did not have any volunteer activities sophomore year.Format EXACTLY as example.
Example:
1. Soup Kitchen/6 hours/P
2. Mission Trip/8 hours (1 day)/P
3. Sunday School Teacher/10 hours/B |
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| 23. |
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List and number VOLUNTEER activities in which you participated during your junior year. Estimate the number of hours for each service performed and indicate whether you were a participant (P), organizer (O), or both (B). *Mission trips are 8 hours a day. Write "none" if you did not have any volunteer activities junior year.Format EXACTLY as example.
Example:
1. Soup Kitchen/6 hours/P
2. Mission Trip/8 hours (1 day)/P
3. Sunday School Teacher/10 hours/B |
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| 25. |
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List and number VOLUNTEER activities in which you participated during your senior year. Estimate the number of hours for each service performed and indicate whether you were a participant (P), organizer (O), or both (B). *Mission trips are 8 hours a day. Write "none" if you did not have any volunteer activities senior year. Format EXACTLY as example.
Example:
1. Soup Kitchen/6 hours/P
2. Mission Trip/8 hours (1 day)/P
3. Sunday School Teacher/10 hours/B |
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| 27. |
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List and number all full and part time jobs you have worked since entering high school. Include Employer/Responsibility/Supervisor's Name and Phone #. Format EXACTLY as example. Write "none" if you did not have a job since entering high school.
Example:
1. Bob's Fast Food/Dishwasher/Bob Smith 262-666-6666
2. Marsha's Department Store/Cashier/Marsha Miller 666-262-6666 |
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Indicate the total number of hours you worked at a job (or multiple jobs, if applicable) your freshman year. |
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Indicate the total number of hours you worked at a job (or multiple jobs, if applicable) your sophomore year. |
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Indicate the total number of hours you worked at a job (or multiple jobs, if applicable) your junior year. |
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Indicate the total number of hours you worked at a job (or multiple jobs, if applicable) your senior year. |
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| 37. |
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List how you expect to finance your education. Check all that apply. |
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(1 required) |
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| 38. |
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It is anticipated that most parents will make some contribution to the educational expenses of their children. However, if that is not your intention, or if some exceptional circumstances affect your ability to contribute, please discuss these factors below. Write "n/a" if this does not apply to your situation. |
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| 39. |
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Write one or two paragraphs on ONE of the topics below:
· Discuss your future goals
· How has your “Arrowhead experience” helped shape your goals for the next phase of your life? |
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| 40. |
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Are there any additional circumstances that have impacted your life that you would like the committee to know? Write "n/a" if this does not apply to your situation. |
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By submitting this application, the applicant agrees to the release of his or her name and image in conjunction with the scholarship awarded.
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