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2018 Scholarship Application
UHS/PCHS Alumni Association
PCHS Alumni AssociationNote to applicants: The following application form must be completed and delivered to the Superintendent’s Office at Putnam County R-1 High School, along with the required documents listed below by July 17, 2018. The application form and the documents should be placed in an envelope that is clearly marked for delivery to the Alumni Association Scholarship Committee.
Name: __________________________________________ Year of PCHS graduation: ___________
Mailing address: _____________________________________________________________________
Home phone: ______________________ Cell phone: _________________________
E-mail address: ________________________ Current academic major: ____________________
College to be attended in 2018-19: ________________________________________
Colleges attended since high school: _____________________________________________________
Number of college credit hours completed: _________ Cumulative GPA: __________________
I have attached the following documents to this application form:
1. One-page statement of my activities and achievements at Putnam County High School;
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One-page statement of my career goals and objectives; and
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One-page statement of my involvement in college, community, and civic activities.
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Academic transcripts (may be unofficial copies) for all college courses.
I understand that the $500 scholarships available from the UHS/PCHS Alumni Association will be awarded during the annual all-school alumni reunion on Saturday afternoon, September 1, and I agree to be present for the awards ceremony.
I also understand that the scholarship funds are to be used for the 2018-19 academic year, and that I will not be eligible for the funds if I do not enroll and attend classes at the college I have named above for the 2018-19 academic year.
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Signature
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Date
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