Teton Valley Education Scholarship Application

January 23, 2015

Teton Valley Education Scholarship Application

Teton Valley Education Foundation

2015 Scholarship Application

APPLICATION DEADLINE:  Please mail completed applications to Teton Valley Education Foundation, PO Box 1111, Driggs, ID 83422.  Applications must be post-marked no later than Wednesday, March 25, 2014.  Late/incomplete application will not be reviewed.

1.       Student Information

Name:

(First)                                                    (Last)

Address___________________________________________________________________________

__________________________________________________________________________________

(City)                                                      (State)                                                  (Zip)

Home Phone #__________________________________

Date of Birth___________________________________

Email: ____________________________    Parent Name and Email:________________________
2.   School Information

Cumulative GPA _________

Highest  ACT or SAT

ACT Composite__________                              Date ___________

SAT Crit. Reading________   Math _________  Writing  _________  Date  ____________

3.  Please list the post-secondary institution you have applied to and plan to attend full-time, including your first choice and your alternative.  Please include the annual tuition cost, excluding room/board.

1._________________________________________

2._________________________________________

3._________________________________________

Intended Major _____________________________

4.  Brief employment history of student.  Start with the most recent employment.

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5.  Have you applied for and/or received any other financial aid or scholarship?  If yes please explain:

____________________________________________________________________________________________________________________________________________________________________

6.  Extra-curricular activities: List clubs, organization, church group, community service, athletics, band, etc.  Include leadership positions, honors and awards and dates of participation.   Attach additional pages if needed.

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7.In 100 words or less, answer the following question:  What are your education and career plans and how would this scholarship help?  Attach additional pages if needed.

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8.  Is there any additional information you would like the scholarship committee to be aware of?  Attach additional pages if needed.

____________________________________________________________________________________________________________________________________________________________________

9.  List names and phone number of three people who can act as a personal and character reference for you.

1._________________________________________

2._________________________________________

3._________________________________________

CERTIFICATION:  In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information will result in termination of any scholarship granted.

Student signature_____________________________________

Teton Valley Education Foundation works to enhance the educational experience for students and to increase opportunities for excellence in our public schools.  For more information on our programs, please visitwww.tetoneducation.com

Remember to mail your application by Wednesday, March 25, 2014 deadline!

Award notification will begin on April 9, 2015.