Par Mar Stores Scholarship Program A scholarship program designed to assist students in our communities. Step 1 of 8 - Applicant Data 0% I. Applicant DataFull Name* First Middle Last Age*Date of Birth* Day Month Year Home PhoneCell NumberAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code II. Parent or Guardian InformationFull Name* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneWork Phone III. High School Information(Transcripts are not required to be submitted.)High School Name* Phone NumberAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code G.P.A.*Graduation Date* Month Day Year Have you applied for Pell Grant or other financial aid?* Yes No Guidance Counselor Name* Phone Number*(Transcripts are not required to be submitted) IV. Post Secondary School DataList the official school name(s), name(s) of post-secondary school you plan to attend. (If unknown, list in order of preference the schools to which you have applied.)*Name of post-secondary schoolCityState Click the "+" sign at the end of the row to add another schoolIf currently attending college, what is your G.P.A.?Major or course study* Anticipated date of graduation? (Month/Year) Student will:* Live on campus Live off campus Commute from home After graduating from post-secondary where do you plan to reside (city and state)?* V. Activities, Awards, HonorsList all school/community activities*Activity# of Years ParticipatedSpecial Awards/HonorsOffices Held List all school activities in which you have participated during the past four years (e.g. student government, music, sports, etc.) List all community activities in which you have participated in the past four years without pay (e.g. hospital volunteer, library volunteer, Boy/Girl Scouts, Special Olympics). Indicate all honors, all offices held and special awards. VI. Work ExperienceEmploymentYearEmployerBrief description of duties VII. Goals and AspirationsWrite a statement of your life in five years after earning your certificate or degree and how your childhood influenced your statement.*Important: This section is weighted when determining recipients. VIII. ReferencesList three references with at least one being a teacher at your current school.*NameOccupationAddressPhone Late applications will not be considered. If you have questions, please contact Araya at 740.373.7406 x3015 or Jeralynne x3009 Δ
