AVON CLUB FOUNDATION

Avon Club Foundation Kathy Hall Memorial Scholarship Application

Avon Club Foundation

Application for the Avon Club Foundation Kathy Hall

Memorial Scholarship

$1,500.00

Under the direction of the

Scholarship Committee 2015

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Directions for Completing Application

1. Complete all forms of this application. If a form is not completed, the application will not be considered.

2. Contact Amy Baschnagel if you have any questions about the application.

abksikora@gmail.com with the subject line labeled Kathy Hall Memorial Scholarship.

3. Mail the completed application and reference requirements to:

Avon Club Foundation

Attention: Amy Baschnagel, Scholarship Committee

159 Neville Ave

Pittsburgh, PA 15202

OR:

abksikora@gmail.com

Note: The application must have a postmark date no later than

April 8th, 2015

4. Applicants will be notified with information regarding the award announcement and presentation details.

Scholarship Evaluation Rubric

Essay: 50%

Extracurricular: 30%

GPA: 20%

Avon Club Foundation Kathy Hall Memorial Scholarship Application

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Applicant Information

Name:________________________________________________________

Address:________________________________________________________

City:___________________________ Zip: ___________________________

Telephone: ______________________ Email: __________________________

Date of Birth: ___________________

High School Attending: ______________________________________________

GPA: __________________________ Date of Graduation: ______________

*A weighted Transcript is required with application.

Note: If you feel it necessary to explain your GPA, please include a statement below:

Continuing Education Information

List your top 3 colleges, universities, and/or other institutions to which you have applied. Also indicate the status of admission acceptance.

Name of School

Acceptance Status

1. _______________________________________

Yes _____

2. _______________________________________

Yes _____

3. _______________________________________

Yes _____

Please list your 1st and 2nd choice courses of study you plan to follow.

1. ___________________________

2. ___________________________

Personal Reference Information

List 2 people you have selected as your references:

One (1) teacher/counselor/or administrator, and one (1) employer/volunteer supervisor/or coach. Please include a reference letter from each with the completed application.

Name

Address

Telephone

1. ________________

___________________________

___________________________

______________

2. ________________

___________________________

___________________________

______________

Extracurricular Activities

List any scholastic, athletic, or other activities at your school or community in which you have taken part during your high school years. Include the dates when you participated in each activity.

Activity/Role

Dates Participated

List any summer or part-time work during your high school years.

Summer or Part-Time Work Location

Dates Employed

List any volunteer work during your high school years.

Volunteer Work Location

Dates Volunteered

Essay Information

Include a brief essay, response to the following prompt.

Times New Roman (12pt,) with a 1000 word minimum, at least 1.5 spacing. Use 1 inch margins.

Prompt:

To so many, Kathy Hall was a role model, a confidant, a teacher, and aptly described as a professional best friend. Her laughter, courage, grace, kindness, selflessness and energy were her trademarks. Which of these attributes do you most identify with? Why do you think these attributes are important to have? When have you exhibited these characteristics and how might they help you in your future?

Signatures

Applicant Signature: _________________________________________________

Parent/Guardian Signature: ____________________________________________

Guidance Counselor Signature: ________________________________________

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All information listed in this application is strictly confidential.

Rev 02/15

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