2019 Application

Hallandale Scholarship Fund, Inc. 2019

 

(PRINT CLEARLY OR TYPE)

Name (First, Last): ___________________________________________________________

Address (include Apt #, City, State & Zip): __________________________________________

__________________________________________________ Phone: _____________________

E-mail: (please print legibly) ______________________________________________________

Graduating from ___________________________________High School – Date:____________

From what date have you been a Hallandale Beach resident? (month, year)__________________

Personal History

Parents’ Name(s), Address, Phone, Email:____________________________________________

____________________________________________________________________________________________________________________________________________________________

 

 

College Information

Accredited College or University of higher education you plan to attend: _______________________________________________________________________

Planned Course of Study: _______________________________________________________________________

 

——————————-To be completed by school official—————————

 

High School Academic History

Weighted GPA:___________

 

SAT Math Score:_________  SAT Reading Score:__________     ACT Score:________

 

Public school transcript panels A14 and A03 or private school transcript verified____________

 

Student Address Confirmation:____________________________________________________

 

Signature (also print name & title) of School Official:_______________________________________________

_____________________________________________________________ Date_______________________

 

List your major activities in High School from grades 9 – 12:

ACTIVITY

  1. ______________________________________________________________________________________
  2. ______________________________________________________________________________________
  3. ______________________________________________________________________________________
  4. ______________________________________________________________________________________
  5. ______________________________________________________________________________________
  6. ______________________________________________________________________________________

List two (2) teachers who will recommend you for this scholarship:

  1. ______________________________________________
  2. ______________________________________________

 

Attach a 300 – 600 word essay stating why you want to go to college. Submit your typewritten essay as an attachment.

__________________________________________________________________________________________

 

COMPLETED APPLICATIONS MUST BE RETURNED TO YOUR

HIGH SCHOOL BRACE ADVISOR BEFORE APRIL 1, 2019.

NO LATE OR INCOMPLETE APPLICATIONS WILL BE ACCEPTED