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United Way of Hancock County

 

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Car Tunes on Main
United Way Community Kick Off
Saturday, August 21, 2010
Accepting Sponsorships Now.
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support this event,
click here.

Secor Scholarship Application
 

Secor Scholarship Application

Please have the following items ready to attach before completing this application: School Activity Log, Community Service Log, Faith-based Service Log, Additional Service Log. These logs can be simple Word documents listing dates, activities and positions held. Also be sure to have three e-mail addresses for references. These references can be from teachers, guidance counselors, coaches, agency representative, employer or faith-based contact. It is also advised that you craft a 250 word essay prior to completing this form. Then simply cut and paste into the field for submission.

Personal Information

Name*

Email Address*

Address*

City*

State*

Zip Code*

Parent/Guardian Name*

Education Information

High School*

Accumulative Grade Point Average*

Intended Field of Study*

Institutions to which you have applied or been accepted.*

High School Transcript

Attach a scanned copy of your most recent high school transcript (.jpeg or pdf)

High School Transcript

School Activity Log

In a separate program,i.e. Word, compose a list of your school activities. Include chronological dates, a short description of the service, and any leadership positions held. Attach here.

My School Activity Log

Community Service Log

In a separate program, i.e.Word, compose a list of your community activities. Include chronological dates, a short description of each service, and any leadership positions held. Attach her

My Community Service Log

Faith-Based Service Log

In a separate program, i.e. Word, compose a list of your faith-based service. Include chronological dates, a short description of the service, and any leadership positions held. Attach here.

My Faith-Based Service Log

Other Applicable Service Log

In a separate program, i.e. Word, compose a list of your faith-based service. Include chronological dates, a short description of the service, and any leadership positions held. Attach here.

Other Service

Essay

In 250 words or less, please identify the volunteer, community service, or service learning opportunity that has influenced you the most. Describe the opportunity and explain your role. What was the outcome and how did it impact you?

Essay*

References

Provide three references' e-mail addresses so that we can send them an electronic reference form. Please provide one reference for each of the following categories:

Service Reference*

E-mail address for Service Reference*

Leadership Reference*

E-mail Address for Leadership Reference*

Character Reference*

E-mail Address for Character Reference*

Submit Confirmation

Although we rely on technology, call the United Way office after clicking "submit" to inform us that your application is on its way. 419-423-1432. This will ensure that we have received your application.