Mt. Baker Scholarship Foundation Application
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MOUNT BAKER SCHOLARSHIP FOUNDATION
SCHOLARSHIP APPLICATION
A Dollars for Scholars Organization
This foundation was formed in the spring of 1994, for the purpose of establishing permanent
endowments to generate scholarship funds for Mount Baker High School graduates. Recipients
of scholarships from these funds are encouraged to contribute to MBSF when they become
financially capable so that others may also receive benefits to continue their education.
When you apply for a scholarship by filling out the general MBSF application form, you will be
considered for a variety of scholarships for technical/community or 4 year colleges/universities.
Some scholarships are awarded based on merit; some are based on financial need. Others specify
that you have an interest/passion in a particular field. Scholarship descriptions are available in
the High School Career Center and on the MBSF website (http://mtbakerscholarship.org). The
number and amount of scholarships to be given is determined on an annual basis.
If you’ve received a full ride scholarship or other extensive scholarship(s), the MBSF may opt not
to award you scholarship funds.
Your task is to prepare the best application you can. The application is in a “PDF writable”
format that allows you to type in your answers. If you need help, contact your counselor, the
Career Center counselor, Sandi Madison, or one of the MBSF board members.
Submit completed applications
to the Mount Baker Scholarship Foundation, P.O. Box 875, Deming, WA 98244
POSTMARKED NO LATER THAN TUESDAY, APRIL 15,
2015.
To receive scholarships applicants must:
• Be currently enrolled as a senior at Mt. Baker High School.
• Plan to attend a technical, community or 4 year university in the Fall of 2015.
• Submit a complete MBSF scholarship application by April 15, 2015. Be sure to add your
current classes on your transcripts as well.
*NOTE: For consideration for the George and Tena Giarde Scholarship, please include two
letters of recommendation from a pastor, youth leader, counselor, or other appropriate adult
along with a completed MBSF application.
To apply for the Loren and Muriel Monsen Scholarship, submit a letter that summarizes how you
have fulfilled the requirements described in the scholarship description in addition to completing
the general MBSF scholarship application.
Updated 10/16/2014
Mt. Baker Scholarship Foundation Application
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APPLICANT DATA
NAME:
Last
First
CITIZENSHIP:
GENDER:
NAME OF
PARENT/GUARDIAN:
Last
RACE (Optional)
First
MAILING ADDRESS:
Street
TELEPHONE:
Updated 10/16/2014
City
State
Zip
Mt. Baker Scholarship Foundation Application
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PLEASE DO NOT PUT ANY IDENTIFYING MARKS ON THIS PAGE OR ANY OF
THE FOLLOWING PAGES.
School you plan to attend (School Name, City, State):
Area of Study:
Have you been accepted?
Yes
No
1. SCHOOL ACTIVITIES
List involvement in all school activities. Include honors/awards and offices held.
(Attach additional sheet if necessary.)
ACTIVITY
AWARDS/HONORS
2. COMMUNITY/VOLUNTEER ACTIVITIES (Attach additional sheet if necessary.)
ACTIVITY
# of years
GRADE
(9,10,11,12)
Updated 10/16/2014
GRADE
(9, 10, 11, 12)
MAJOR ACCOMPLISHMENT
Mt. Baker Scholarship Foundation Application
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3. EMPLOYMENT HISTORY (Attach additional sheet if necessary.)
JOB TITLE
EMPLOYER
PERIOD OF EMPLOYMENT
4. SCHOLARSHIPS
List below any scholarships you have received for next year.
NAME OF SCHOLARSHIP
AMOUNT
#HRS/WEEK
IS IT RENEWABLE?
5. FINANCIAL AID OFFER
Have you received an offer of financial aid from the school you will be attending?
Yes
No
If yes, please list the items of the offer:
TYPE OF AID (Grant/Loan/Work Study)
AMOUNT PER YEAR
6. What is the projected annual cost of the school you plan to attend?
$
(Tuition/Room and Board)
7. Attach a copy of your high school transcript. Add to the transcript the courses in which
you are currently enrolled.
8. If you filed a FAFSA and have received your Student Aid Report (SAR), list your Expected
Family Contribution (EFC) from page one of the SAR (found in the top right hand corner.)
EFC $
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Mt. Baker Scholarship Foundation Application
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9. REQUIRED: Write an essay (at least 300 words) of your plans as they relate to your
educational and career objectives and future goals. What steps have you taken so far to
help prepare yourself for these plans? Include the school you plan to attend and remember
that the more information you provide to us, the better we can get to know you and your
aspirations. Attach another page if necessary.
BE SURE TO CONTINUE ON TO THE NEXT PAGE IN ORDER TO COMPLETE YOUR
APPLICATION.
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Mt. Baker Scholarship Foundation Application
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Before you submit this application, take it to the Mt. Baker High School Office and request that
this section be filled out by the administrative staff. Your application will not be considered if
this section is not complete.
in a class of
Applicant ranks
Cumulative GPA
PSAT
Reading
Math
Writing
SAT
Reading
Math
Writing
ACT
Percentiles:
Eng
(Signature of High School Staff)
Updated 10/16/2014
Math
Rdg
Sci
Composite