Escolar Documentos
Profissional Documentos
Cultura Documentos
APPLICATION
Mechanicsburg, PA 17050
HONORS
Briefly describe
distinctions
oror
honors
youyou
have
won.
Briefly
describe scholastic,
scholastic, community,
community,athletic,
athletic,work-related
work-relatedororpersonal
personal
distinctions
honors
have
received.
SCHOOL
SCHOOL AND
AND COMMUNITY
COMMUNITY INVOLVEMENT
INVOLVEMENT
List
and
family
activities
and
interests
in order
of their
importance
to you.
Include
specific
events
List your
your extracurricular,
extracurricular,community,
community,volunteer
volunteer
and
family
activities
and
interests
in order
of their
importance
to you.
Include
specific
and/or
Follow this
format:
events major
and/oraccomplishments.
major accomplishments.
Follow
this format:
Activity
Activity
Grade level
Grade Level
10 11 12
9 10 11 12
Hours/week Weeks/year
Hours/week
Weeks/year
ACADEMIC
ACADEMIC
Cumulative GPA
SAT scores:
____________________________
ACT scores: ____________________________
Cumulative
GPA:___________________________
________________ SAT scores:
__________________
ACT scores: _________________
Class rank if known: ________________
MENTOR (not
MENTOR
(notaaparent
parentor
orrelative)
relative)
Name one
teacherwho
(andhas
his/her
school)
has had
influence on you. Tell why.
Name
the person
had the
mostwho
influence
on the
you.most
Tell why.
WORK EXPERIENCE
WORK
EXPERIENCE
List any
any jobs,
jobs, including
includingsummer
summerjobs,
jobs,you
youhave
haveheld
heldduring
duringthe
thepast
pastthree
threeyears.
years.Follow
Followthis
thisformat:
format:
List
Specific nature of work
Employer
Employer
Dates of employment
Dates of employment
Number of hours/week
Number of hours/week
ESSAY
ESSAY
In 300 words or fewer, explain how you have made a difference in your school and/or community and how that experience will help you
In
500 words
fewer,society.
explainPlease
how you
difference you
in your
and/or community
and
howmay
thatbe
experience
contribute
to aorbetter
notehave
any made
speciala challenges
haveschool
surmounted.
Excerpts from
essay
published.will help you
contribute to a better society. Please note any special challenges you have surmounted. Excerpts from essay may be published.
PLANS
PLANS
Note plans beyond high school, schools you will be attending, etc.
Note plans beyond high school, schools you will be attending, etc.
RECOMMENDATIONS
RECOMMENDATIONS
Attach two typed, sealed letters of recommendation one from a teacher, counselor or principal at your school, the other from someone
Attach
typed,
letters
of recommendation
of 300 hundred
words
or choose
fewer asone
from a teacher,
or principal
outsidetwo
school
(notsealed
a relative).
Give
the following information
to the people
you
references.
To thosecoach,
writingcounselor
references:
In your letter
at your school; the other from someone outside school (not a relative). To those writing references: In your letter state how long you have
state how long you have known the applicant and in what context. Discuss the students contribution to his/her school and community, intelknown the applicant and in what context. Discuss the students contribution to his/her school and community, intellectual promise, ability
lectual promise, ability to overcome obstacles, leadership potential, special talents and enthusiasm. List your title, address, email address and
to overcome obstacles, leadership potential, special talents and enthusiasm. List your title, address, email address and phone numbers on
phone numbers on the letter. Excerpts from recommendations may be published.
the letter. Excerpts from recommendations may be published. Letters MUST be included with application and MUST be sealed.
SIGNATURES
REQUIRED
I verify that all SIGNATURES
the information I have provided is accurate, and I CONSENT TO THE PUBLICATION OF ANY INFORMATION IN THIS APPLICATION.
I verify that all the information I have provided is accurate, and I CONSENT TO THE PUBLICATION OF ANY INFORMATION IN THIS APPLICATION.
I agree to have my photo taken by a PennLive photographer and published by PennLive/The Patriot-News.
Signature of applicant
Signature of applicant
Signature of teacher
PR80248