Hinton Community Education Association Scholarship
Application Form

Name:
Date of Birth:
Home Address:
Phone:
Present High School Rank:        out of          students.
Current GPA:
ACT or SAT Test Scores:
List any honors that you have received.
        (Include academic, musical, athletic, community and other)

Describe your participation in projects and activities related extra curricular school activities, community and church.

List any full or part-time work experience you have had:
Type                                                              Employer                                                   Dates

For what career are you preparing?

If undecided, list possible choices.

To what colleges or schools have you submitted an application for admission?

To what colleges or schools have you been admitted?

Write a paragraph or two on the subject, "Why I plan to further my education."

Your Name:
(Print)

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(Signature)

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