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Hudson Parent Teacher Organization
Scholarship Application
2015
PTO will be awarding (5) $1,000 Scholarships!
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Final copies due
April 2, 2015 by 3:00 p.m.
(No exceptions)
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Scholarship winners
will be announced
at the Awards Ceremony
May 18, 2015 at 7pm
HUDSON PTO SCHOLARSHIP APPLICATION
Student’s Name*:
________________________________________
Address:
________________________________________
________________________________________
Home Phone Number:
________________________________________
Parent/Guardian Names:
________________________________________
Email Address:
________________________________________
* PLEASE PUT YOUR NAME ON THIS SHEET ONLY. DO NOT INCLUDE
EITHER A RESUME OR PHOTO WITH YOUR APPLICATION; DOING SO
WILL DISQUALIFY YOU FROM THE PROCESS.
CONSENT FOR INFORMATION RELEASE
I certify that all of the information contained in this application is accurate and
true. Furthermore, I agree to release a copy of my transcript and report card to
the PTO Screening Committee if requested.
Student’s Signature: _____________________________ Date ____________
Parent’s Signature:
_____________________________ Date ____________
FINAL COPIES OF ALL SCHOLARSHIP APPLICATIONS ARE DUE TO THE
HUDSON HIGH SCHOOL GUIDANCE OFFICE NO LATER THAN
FRIDAY, APRIL 2, 2015 @ 3:00 PM
ALL INFORMATION CONTAINED IN THIS APPLICATION WILL BE KEPT IN
THE STRICTEST OF CONFIDENCE.
SCHOLARSHIP WINNERS WILL BE ANNOUNCED
AT THE AWARDS CEREMONY ON MAY 18, 2015
THANK YOU AND GOOD LUCK!
APPLICANT NUMBER: __________ (PTO use only)
HUDSON PTO SCHOLARSHIP APPLICATION
ACADEMIC RECORD: (Guidance Office will provide GPA information)
Cumulative Grade Point Average:
_______________________________
Verified Signature by Guidance Office: _______________________________
EDUCATIONAL INFORMATION:
Have you attended Hudson Schools K-12? __________Yes ____________No
If no, for how many years have you attended Hudson Schools? _____________
EMPLOYMENT HISTORY: (Please be as specific as possible with dates and
employment history, including only those jobs held since August 2010.)
DATES OF
EMPLOYMENT
TYPE and PLACE
OF EMPLOYMENT
WEEKLY HOURS
Example: 9/11 –
12/11
Cashier / Acme
20
For PTO
Use only
School Year
2011 - 2012
2012 - 2013
2013 - 2014
2014 - 2015
Summer
2012
2013
2014
APPLICANT NUMBER: __________ (PTO use only)
HUDSON PTO SCHOLARSHIP APPLICATION
EXTRACURRICULAR ACTIVITIES: (HIGH SCHOOL YEARS ONLY)
List your high school extracurricular activities and the corresponding grade(s)
relating to each activity. Also indicate if you held an elected school office. Please
note: Sports participation not related to (and outside of) Hudson High School
does not qualify.
Examples: HHS Soccer 9, 10, 12; HHS Soccer Captain 10, 12;
HHS Student Council 11, 12; HHS Student Council Treasurer
12
HIGH SCHOOL
Name of Activity
Wkly Hrs of For PTO
Participation use
only
APPLICANT NUMBER: __________ (PTO use only)
HUDSON PTO SCHOLARSHIP APPLICATION
EXTRACURRICULAR ACTIVITIES (CONT): (HIGH SCHOOL YEARS ONLY)
List your community and service-related extracurricular activities and the
corresponding grade(s) relating to each activity. Also indicate if you held an
elected office. Please note these should be activities other than those directly
related to Hudson High School.
Examples: CYO Summer Counselor 11, 12; President Voter’s League For Teens 10, 11, 12
COMMUNITY SERVICE
Name of Service
Wkly Hrs of For PTO
Participation
use
only
RECOGNITION/AWARDS/HONORS:
List any special recognition, awards or honors that you have received during your
high school years, including school and community.
Examples: Scholar Athlete HHS Soccer 10, 11
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______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
APPLICANT NUMBER: __________ (PTO use only)
HUDSON PTO SCHOLARSHIP APPLICATION
ESSAY: (Please do not put your name on the essay page. Staple it to this
entire form.)
DIRECTIONS: As you write your essay from the topic listed below, please use
the following criteria:
•
•
•
Typed and double spaced
Arial Font – Size 12 or 14
Do not exceed 2 pages on 8 ½ x 11 white paper
ESSAY TOPIC:
Discuss an accomplishment or event, formal or informal that
marked your transition from childhood to adulthood within your
culture, community, or family.
GOOD LUCK!
THANK YOU FOR APPLYING FOR THE HUDSON PTO SCHOLARSHIP!
APPLICANT NUMBER: __________ (PTO use only)
FINAL SCORE: __________ (PTO use only)