Applicant Section
I hereby apply for the Eastern States Blast Furnace and Coke Oven Association “Jim Richardson Memorial” Scholarship.
Name
First Name
Last Name
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
-
Month
-
Day
Year
Date
High School Currently Attended
Dates of Attendance
Name of High School Principal
First Name
Last Name
Anticipated High School Graduation Date
-
Month
-
Day
Year
Date
College, University, Junior College, Vocational or Technical Institution, which you plan to attend (First Choice)
College, University, Junior College, Vocational or Technical Institution, which you plan to attend (Second Choice)
College, University, Junior College, Vocational or Technical Institution, which you plan to attend (Third Choice)
Probable Major
Probable Career
This application if made based on the Eastern States Blast Furnace and Coke Oven Association membership of the following person:
First Name
Last Name
Address of member
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Members Relationship to Applicant
Do you feel that your high school grades are an accurate indication of your ability?
Yes
No
If not, what were the factors that prevented you from doing better?
What high school subjects have you enjoyed most and why?
What special recognition have you received for outstanding schoolwork, such as honor or prizes?
What are your educational objectives and how do you expect to benefit from a college education?
List those high school activities in which you have participated, such as class or student government, band or orchestra, athletics, dramatics, debate or oratory, Hi-Y, cheerleaders, school publications, clubs, etc. Indicate the high school year in which you participated in each activity as follows: 1-Freshman, 2-Sophomore, 3-Junior, 4-Senior.
List those organized, out of school activities in which you have participated, such as Boy Scouts, Girl Scouts, 4-H Club, CYO, church organizations, etc. Indicate in which you participated, in each activity, as follows: 1-Freshman, 2-Sophomore, 3-Junior, 4-Senior.
Describe any work activities during the past three years, either for you or your family at home or for outside employers.
What do you do to relax and for recreation?
List all other scholarships you have received or for which you are applying:
I took the Scholastic Aptitude Test (SAT) on:
-
Month
-
Day
Year
Date
Or, I will take the Scholastic Aptitude Test (SAT) on:
-
Month
-
Day
Year
Date
Signature - I tile undersigned, (applicant) authorize the disclosure of the data required by The Eastern States Blast Furnace and Coke Oven Association.
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Essay
Essay shall be at least 400 words but not to exceed 500 words and shall be printed clearly or double spaced type.
Topic: Choose a problem facing the youth of contemporary America, describe this problem and offer possible solutions.
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