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I. C. NORCOM CLASS OF ’70 SCHOLARSHIP APPLICATION
FOR HIGH SCHOOL SENIORS
PURPOSE: To provide scholarships to a deserving I. C. Norcom high school graduating senior and an
I. C. Norcom class of 1970 alumnus’ grandchild planning to pursue a course of study at an accredited
college, university or accredited vocational or technical learning institution.
AWARD COMPONENTS: $1000 scholarships will be awarded to two students selected by the I. C.
Norcom Class of 1970 Scholarship Committee.
CRITERIA:
1. Applicant must be currently enrolled at I. C. Norcom High School or applicant must be a
grandchild of an active I. C. Norcom class of 1970 alumnus.
2. Applicant must be a graduating high school senior June or August 2015.
3. Applicant must be a full-time college/university/or accredited vocational or technical learning
institution freshman in the fall semester of 2015.
4. Applicant must have at least a 3.0 G. P. A. on a 4.0 grade scale.
5. Applicant must have demonstrated leadership abilities through participation in
community, volunteer, extra-curricular, or other services. (at least one activity).
APPLICATION PROCESS:
1. Application must be typed. Handwritten applications will not be processed.
(Applications may be accessed at www.pps.k12.va.us. Scroll down to I. C. Norcom Class of
1970 Scholarship Opportunity.)
2. Application and all related documents must be postmarked no later than March 28, 2015.
3. Related documents include:
A. Completed typewritten application
B. Letter of application addressed to the Scholarship Committee. The letter should contain a
brief explanation of career goals and biographical (background) information.
C. One (1) letter of recommendation from the student’s high school teacher or administrator
D. A complete high school transcript with cumulative grade point averages and a class
standing/rank.
Deadline for application is March 28, 2015. Applications postmarked after this date will not be
considered.
Mail application packet to:
I. C. NORCOM CLASS OF ’70 SCHOLARSHIP COMMITTEE
C/O MS. DONNA DARDEN
3905 REX CIRCLE
CHESAPEAKE, VIRGINIA 23321
* A recipient’s failure to be enrolled at an accredited college, university or
vocational/technical school by September 30, 2015 would void the scholarship. A
verification letter from the school’s registrar’s office must be provided prior to the recipient
receiving the scholarship award.
SCHOLARSHIPS FOR HIGH SCHOOL SENIORS
Student Application
Please read this form carefully and answer each question completely. Your application will not be
processed if all of the questions are not answered in full. Mark N/A for items not applicable. Your
application must be typewritten.
PERSONAL DATA
Full Name____________________________________________________________________________
Address____________________________________________________Telephone #________________
City/State____________________________________________________Zip______________________
Full Name and Address of Parents or Guardians:
Father_____________________________________ Street Address_____________________________
Mother____________________________________ Street Address_____________________________
City/State/Zip_______________________________ _________________________________________
Telephone Number___________________________ Telephone Number_________________________
EDUCATIONAL INFORMATION
Are you currently enrolled as a senior in high school? _________________________________________
Name of the high school in which you are enrolled ___________________________________________
High School Counselor’s Name?
________________________________________________________
Where do you plan to attend college? ______________________________________________________
College or University address_____________________________________________________________
Have your currently applied for admission?__________________________________________________
Have you been accepted?
______________________________________________________________
Proposed Major? _____________________________________________________________________
What is your cumulative grade point average? ________________Class rank? _____________________
If available, highest ACT or SAT score_____________________________________________________
ACTIVITIES/ORGANIZATIONS
Please list activities/organizations in school and outside of school.
Indicate offices held and accomplishments while in office.
HONOR/AWARDS
Please list.
WORK EXPERIENCE
Include both paid and volunteer work experience and job duties performed.
___________________________________________
High School Counselor’s Signature
____________________________________
Date
___________________________________________
Applicant’s Signature
________________________________
Date