Online Scholarship Application

First Name

Last Name

Cell Phone

Street Address

City

State

Zip Code

Tell us the names, ages, and your relationship to the persons you live with at the address above:

Academics information:

What is your weighted grade point average?

What is your class rank?

What is your score on the ACT?

and/or the SAT?

Tell us about your Memorial experience:

What did you learn? What will you remember?

Academic recognition:

Please list the special recognitions you have received (such as honor roll, academic letter, National Honor Society, etc.) and when you received them.

School activities and leadership:

Please tell us about your school-related extracurricular activities (such as athletics, music, drama, debate, student government, clubs), and be sure to tell us about any office you have held, or any special honors or awards you have received in connection with those activities.

Community service and volunteer activities:

Please tell us about other activities to which you devoted time in the community during your high school years (such as volunteer work, service organizations, Scouting, religious organizations). Did you hold an office or receive any awards or recognition?

Employment record:

Have you worked for money during high school? If so, tell us where, when, your work schedule, what you did, and what you learned or gained from the experience.

Educational plans/career training:

Tell us about your goals and dreams, and how you believe a college education or career training will help you get there.

College applications:

Tell us what schools you have applied to, and the anticipated annual cost of attending each. If you have made a firm choice and know what school you will attend, you only need to list that school.

School

Estimated annual cost (tuition, school room/board, books/supplies)

Financial aid:

Please check the boxes below to indicate other sources from which you have sought financial aid, and tell us the amount of aid you have received thus far.

FAFSA

Pell grant

Oklahoma’s Promise

Tulsa Achieves

Sports scholarship

School-specific scholarships (include the school):

Other scholarships (describe):

Please select one or more of the following 3 questions and write at length.

Your influences:

Tell us about the two or three people (family, teachers, counselors, friends) who have had the greatest influence on your life. Who were they? What did they do? What did you learn from them?

Life experiences:

Tell us about an event or circumstance in your life that has had a strong impact on you. What did you learn from it?

Determination to graduate:

What can you tell us about your determination to graduate college, and your strategies for completing your degree?

For students pursuing career training:

We know a lot of this application is oriented toward students who are headed to college. We are also very interested in helping students who plan to enroll in vocational training. If you intend to pursue career training at a school such as Tulsa Tech that charges tuition, tell us about your career plans, the school and its location/cost, and how many years will be required to complete your training.

With my signature below,

I attest that I have completed this application truthfully; that I personally wrote the responses to the questions herein; and that all information provided is accurate and complete to the best of my knowledge. I agree to allow Memorial High School to release to the Charger Pride Scholarship Foundation:

(1) my GPA
(2) my class rank
(3) my ACT and/or SAT scores
(4) my attendance record
(5) any disciplinary record
that I may have.

Your Name

Date

This scholarship application shall be considered without regard to sex, religion, disability, race, or national origin. The confidentiality of candidate information will be maintained within reasonable parameters during the selection process. The candidate must be in compliance with Memorial High School and Tulsa Public Schools discipline policies.

Students being considered for a scholarship will be interviewed by the Foundation’s selection committee. To be chosen for an interview is not a guarantee that a candidate will receive financial support mm.