Strongsville Chamber of Commerce

SCHOLARSHIP APPLICATION
 
Must be completed online between January 1, 2018 and March 1, 2018

  This is the first part of the scholarship application process.  If you move onto the next phase of the process a face to face meeting will be required.

 

Scholarship Application Form

 
                                                                                                          
First Name  Last Name  Male Female
Address
Home Phone    Cell Phone   
Applicant's EMail Address  (required)
Contact Person
Parent / Guardian Name (required)
Parent / Guardian EMail Address  (required)
Parent / Guardian Name
Parent / Guardian EMail Address
 
Check One or More 
  
SHS Student 
Polaris Student 
PSOE Student 
Student of other school 
What school do you plan on attending this fall?   
Intended Field of Study
  
Have you been accepted?
  Yes   No
Will you be receiving financial assistance from any sources other than yourself or your parents?   Yes   No
If yes, what sources?   

Community Service / Volunteer Work

(You must enter at least one):

Type of Community Service / Volunteer Work
  
Address
  
Supervisor
  
Phone Number
  
Dates of Service
  
Hours Per Week
  

High School Activities:

(You must enter at least one)

Club / Organization
  
Advisor
  
Phone Number
  
Office Held
  Yes   No
  
Title
  
Dates of Participation
  

Employment:

(You must enter at least one)

Employer
  
Address
  
Supervisor
  
Phone Number
  
Responsibilities
  
Dates Employed
  
Hours Per Week
  
 
 
If you have questions please email info@strongsvillechamber.com.  Remember that application finalists will also be required to complete an in person interview prior to acceptance.
 

Please select only one of the choices below.

The undersigned acknowledges that he/she is 18 years of age or older, and hereby authorizes the Strongsville Chamber of Commerce and its representatives to obtain any information it deems necessary in connection with this application, and further expressley verifies and warrants that the information contained in this application is accurate and truthful.
Name  
The undersigned, as parent or guardian of an applicant under the age of 18, acknowledges and hereby authorizes the Strongsville Chamber of Commerce and its representatives to obtain any information it deems necessary in connection with this application, and further expressley verifies and warrants that the information contained in this application is accurate and truthful.
Name  
 

Please confirm that your information is correct before submitting this form.

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