Scholarship Application Chamber630 (formerly the Woodridge and Downers Grove Area Chambers) is proud to offer scholarships to graduating High School Seniors who are furthering their education at a technical or trade school, business college or a two or four-year college or university. The amount awarded may be from $500 - $2500. Scholarship winners will be recognized at a student luncheon on May 13, 2015. Applicants must be a Chamber630 Member or a child of an owner or employee of a Member business in good standing. A completed application will include the following:     All information legibly completed on the three page application form Guidance Counselor signature on application form Essay (maximum of 200 words) One sealed letter of recommendation from a teacher. Please print or type your application. Illegible or sloppy applications will be rejected. Applications must be sent to Chamber630, 5 Plaza Drive, Suite 212, Woodridge, IL 60517 postmarked no later than Monday, March 16, 2015. 1 _______________________________________________________________ Applicant Name _______________________________________________________________ Address _______________________________________________________________ _______________________________________________________________ Phone _______________________________________________________________ Parent/Guardian Name(s) _______________________________________________________________ High School _______________________________________________________________ Affiliate Chamber630 Member Business and your association with the business (i.e., daughter/son of employee – include name of employee) I, ____________________________________________, as a Guidance Counselor at Name ______________________________________________, certify that the above named High School student is receiving passing grades and is not in danger of failing. ______________________________________________ Guidance Counselor Signature Application Checklist: ___All information is legible and complete on the application form ___Guidance Counselor‘s signature is on the application form ___Essay is attached and no longer than 200 words ___A sealed letter of recommendation from a teacher is enclosed I certify that all information provided in this application is true and correct. Applicant Signature FOR OFFICE USE ONLY 2 Date Received ____________ Number __________ Educational Plans What is your anticipated major or focus at College/Tech School? Is there another area of study you are interested in? _______________________________________________________ List the schools you have applied to: 1. __________________________________________________ 2. __________________________________________________ 3. __________________________________________________ 4. __________________________________________________ List all schools to which you have been accepted: 1. __________________________________________________ 2. __________________________________________________ 3. __________________________________________________ 4. __________________________________________________ Have you applied for other Grants/Scholarships? (Please list them) 1. __________________________________________________ 2. __________________________________________________ 3. __________________________________________________ What else have you done to help finance or further your education? ______________________________________________________________________ ______________________________________________________________________ 3 Extra Curricular Activities Please list all High School activities (Athletics, Clubs, etc.) Include any leadership role(s) you have taken, (offices held, awards/honors, etc.). Attach a separate sheet if necessary. Name of Club/Organization ______________________ Year of Participation __________ Leadership Role (if any) ___________________ ______________________ __________ ___________________ ______________________ __________ ___________________ Volunteer/Community Activity (Describe) Advisor’s Name & Number ________________________________ ________________________________ _________________________________ ________________________________ _________________________________ ________________________________ Please list any work experience. Name of Company and Type of Work Name and Number of Employer _________________________________ ________________________________ _________________________________ ________________________________ _________________________________ ________________________________ Please list any awards, published materials, or special recognitions you have received. _________________________________ ______________________________ _________________________________ ______________________________ Essay Please attach an essay (maximum of 200 words) explaining your reasons for pursuing your chosen career. Please include with this application, a sealed letter of recommendation from a teacher. 4