Democratic Women’s
Club Scholarship 2010
Application
Name __________________________________________________________________________
Home address_____________________________________________
Phone ____________________________
Occupation(s)
__________________________________________________________________________
Number in family: _____ Family income: ___less than $50,000; ___more than $50,000
High School_______________________________________________
Years Attended ____________________
Other scholarships
or grants received: ___yes; ___no. Applied for: ___yes; ___no.
Please list the following (one page may be attached if necessary):
1. Honors and awards received during high school and after graduation, whether scholastic
or community based, and year received.
2. Participation in school activities (service clubs, sports, music, class office, etc.), office
held, and year.
3. Participation in community activities (church, scouts,
Red Cross, civic clubs, etc.); names of organizations and description of your activities.
4. Employment: list employers and dates.
5. College you plan to attend
6. Career choice
7. On the following page, please answer the two questions in an essay format, in no less than 150
nor more than 250 words for each question.
I. Please state
the reasons for your career choice and the goals you hope to
accomplish.
II. Give your views on THE IMPORTANCE OF THE AMERICAN POLITICAL SYSTEM.
(Do not mention specific candidates.)
Applicant’s statement: I authorize my school to release a copy of my high school transcript
and the Counselor’s School Verification and Recommendation form to the Democratic Women’s Club. If selected as
a winner, I understand that I will not receive the award until I enroll at an accredited college.
____________________________________
Signature and Date
