Please print out this form and return it to the Chamber Office

SOUTH HILLS CHAMBER OF COMMERCE

EDUCATIONAL FOUNDATION

SCHOLARSHIP APPLICATION

(DEADLINE: POSTMARKED OR DELIVERED BY APRIL 21 2008)

Applicant Data

Last Name____________________________________First______________Middle_______

Home Mailing Address____________________________________________________

City____________________________ State_____ Zip Code______________________

Telephone ( )___________________ Fax ( )____________E-mail_______________

Social Security #_____________________________ Date of Birth_________________

 

Parent or Guardian Information

Last Name____________________________________First_______________Middle______

Address_________________________________________________________________

Telephone ( )__________________ Fax ( )_____________E-mail_______________

Relationship to Applicant___________________________________________________

 

High School Data

School Name____________________________________________________________

Address________________________________________________________________

City____________________________ State______ Zip Code_____________________

Graduation Date_________________ Counselor’s Name_________________________

Telephone ( )__________________ Fax ( )____________E-mail________________

 

 

 

Post-Secondary School Data

Name of post-secondary school you plan to attend.______________________________

Address________________________________________________________________

City______________________________State_____________Zip Code_____________

Check One:

____4 yr. College or University ____2 yr. Community or Junior College

____ Vocational/Technical School ____Other, Explain_______________________

Year in school next year: ___1 ___2 ___3 ___4 ___5 or ___Graduate Study

Major or course of study___________________________________________________

Anticipated date of graduation_________________________________

Check One:

Anticipated degree ___Certificate ___Associate ___Bachelor’s

___Master’s ___Other______________________________

 

Attachments Requested

The following must be attached to the application and submitted to:

Scholarship Committee

South Hills Chamber of Commerce

Educational Foundation

Manor Oak One - Suite 140

1910 Cochran Road

Pittsburgh, PA 15220

Academic Transcripts (past two years)

Listing of Leadership and Participation in School and Community Activities

Work Experience Outline

An Essay on Applicant’s Career and Educational Aspirations and Goals

Three Letters of Reference

Eligibility requires that students are seeking post-high school training or education in a business related program. Qualified candidates may be pursuing Certificate programs or Undergraduate Degrees from Trade schools, Community Colleges, 2-year and 4-year Colleges or Universities.

Scholarship awards are based on past academic performance and future potential; leadership and participation in school/community activities; work experience; career/educational aspirations and goals as provided in a written essay; and appraisal from three references.

DEADLINE: APRIL 21, 2008