Alamance Burlington Educational Office Professionals, Inc. Student Scholarship Application Cover Sheet Use this as your cover sheet. Picture must fit one of these boxes. Please glue to the page. Do not use tape. Picture must be no smaller than 2 1/2’ x 3 1/2” and no larger than 3 1/2 x 5”. [Type a quote from the document or the summary of an interesting point. You can position the text box anywhere in the document. Use the Drawing Tools tab to change the formatting of the pull quote text box.] Applicant: ________________________________ District: _____________________ Alamance-Burlington Association of Educational Office Professionals 2013-2014 STUDENT SCHOLARSHIP APPLICATION FORM Educational and Personal Data Date of Application________________ Full Name ____________________________________________________________________________ Permanent Address _____________________________________________________________________ Birthday ___/___/____ Phone# (____) _____________________ US Citizen YES___NO___ Name of School You Now Attend _____________ School You Plan to Attend ______________________ Date of Semester You Plan to Enroll________________________ Career Objective________________________________________________________________________ If more room is required, you may attach one additional sheet to answer all of the questions below. If you use an additional sheet, please type “See Attached” on this application form under the appropriated question. What Honors, Achievements or Recognition Have You Received During Your High School/College Years? Extracurricular Activities in School (Include the year you participated) Community, Church, or Civic Activities Name Two or Three Hobbies or Special Interests Have You Been Employed Part-Time After School or in the summer? _________If so, list your jobs: Financial Analysis Applicant’s Gross Annual Income $________________ Father/Guardian Gross Annual Income $________________ Mother/Guardian Gross Annual Income $________________ Other Expected Income $________________ (Ex. Social Security, other scholarships, grants, etc.*) *List, if applicable ______________________________________________ _____________________________________________________________ TOTAL INCOME $________________ Number of dependent brothers and sisters ______ Are any of these attending colleges? _____If yes, where? _______________________________________ Other Dependents (explain relationships) ____________________________________________________ Anticipated annual expenses for tuition, room, board, books & supplies $_________________ I certify the above information to be true and correct, to the best of my knowledge. ___________________________________________ Signature of Applicant Please attach the following with application:    Three letters of reference (one from Administrator/Counselor, one from a teacher, one from other source. One page biographical sketch, titled “Why I Am Choosing To Further My Education” (Include Statement of Financial Need) Your most current transcript