www.bpgop.com Bethel Park Republican Committee Scholarship Award Program 2015 Purpose: To assist a Bethel Park student attending a four-year college with a Five Hundred Dollar ($500.00), one time, scholarship. Eligibility: Bethel Park High School 2015 graduating class Requirements: (1) Complete the application form in its entirety, sign and mail directly to the address indicated no later than April 4, 2015. (2) Minimum GPA of 3.0 (an official copy of your High School transcript must accompany your application form). Deadline: April 4, 2015 Basic Information - Applicant Last Name First Name M.I. Address (C/S/Z) Phone No. Birthdate Email Address Date of Application Basic Information – Parent/Guardian Last Name First Name M.I. Address (C/S/Z) Relationship to Applicant Phone No. Email Address Academic Information – Applicant (Attach separate page if needed) What field of study do you plan to pursue? Name of postsecondary school(s) that you have applied to: Schools that you have been accepted to (list in order of preference): SAT (Math/Writing/Critical Reading): ACT (English/Math/Reading/Science/Composite), if taken: BPRC Scholarship Application 2015 P a g e |1 www.bpgop.com Work Experience – Applicant Describe your work experience over the past four years. Employer/Position From To Hrs. Worked Paid? (mm/yy) (mm/yy) (per week) (Y/N) Activities / Awards / Honors – Applicant List all school activities in which you participated over the past four years (e.g., student government, sports, music, etc.). List all community activities in which you participated without pay during the past four years (e.g., Boy/Girl Scouts, hospital volunteer, Special Olympics, etc.) Note all special awards, honors and offices received/held. Attach separate page if needed. High School Activity Yrs. Of Participation Special Awards / Honors Offices Held Community Activity Yrs. Of Participation Special Awards / Honors Offices Held BPRC Scholarship Application 2015 P a g e |2 www.bpgop.com Essay – Applicant Please write and attach a 500-word, or less, essay addressing the following topic: “What the United States Constitution Means To Me” The Bethel Park Republican Committee thanks you for your interest in applying for this scholarship. Please send this application and all related items (transcript, essay, etc.) together, in one envelope, to: The Bethel Park Republican Committee P.O. Box 762 Bethel Park, PA 15102 DEADLINE: April 4, 2015 Please Sign: Applicant Signature Date Parent/Guardian Signature Date BPRC Scholarship Application 2015 P a g e |3
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