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Scholarship Application
APPLICATION DEADLINE IS MAY 1st
TO BE ELIGIBLE FOR THIS SCHOLARSHIP:
- List all school activities
- You must have lettered in at least 2 varsity sports- one of those lettered sports must have been in the applicant's senior year.
- Attach a senior transcript; must include first semester grades
Applicant's Name
*
First
Last
Applicant's Email
*
Parent Name #1
*
First
Last
Parent Email #1
*
Parent #1- Is he/she an MCA member?
*
Select One
Yes
No
Parent Name #2
First
Last
Parent Email #2
Parent #2- Is he/she an MCA member?
Select One
Yes
No
Address
*
Mailing address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
High School(s) Attended
*
High School GPA
*
High School Classification
*
Select One
AA
A
B
C
What University, College, Technical or Business School do you plan to attend?
*
In what ways have you helped your school and community (volunteerism) and how has your involvement in high school activities helped you become a better person? (attach a formal one page essay, Times New Romans 12 font)
Max. file size: 12 MB.
Please briefly submit any other supporting information that you feel will be helpful to the judges.
*
Please
do not
include letters of recommendation or any information already listed above.
Upload Your Transcript
*
Max. file size: 12 MB.
EXTRA-CURRICULAR & SCHOLASTIC ACTIVITIES
How many extra-curricular & scholastic high school activities were you involved in?
*
Select One
1
2
3
4
5
6
7
Activity 1
Activity
*
Select One
Football
Baseball
Basketball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Ensembles
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Dtill Team
Years (Select all that apply)
*
FR
SO
JR
SR
Lettered
*
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or All-Division?
*
Select One
Yes
No
All-Conference or All-Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
Activity 2
Activity 2
*
Select One
Football
Basketball
Baseball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Drill Team
Years
*
(Select all that apply)
FR
SO
JR
SR
Lettered
*
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or All-Division?
*
Select One
Yes
No
All-Conference or All-Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
Activity 3
Activity 3
Select One
Football
Baseball
Basketball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Drill Team
Years
(Select all that apply)
FR
SO
JR
SR
Lettered
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or Division?
*
Select One
Yes
No
All- Conference or Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All-State Years?
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
Activity 4
Activity 4
Select One
Football
Baseball
Basketball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Years
*
(Select all that apply)
FR
SO
JR
SR
Lettered
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or Division?
*
Select One
Yes
No
All- Conference or Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
Activity 5
Activity 5
Select One
Football
Baseball
Basketball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Drill Team
Years
(Select all that apply)
FR
SO
JR
SR
Lettered
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or Division?
*
Select One
Yes
No
All- Conference or Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All- State Years
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
Activity 6
Activity 6
Select One
Football
Basketball
Baseball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Ensembles
Manager
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Drill Team
Years
(Select all that apply)
FR
SO
JR
SR
Lettered
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or Division?
*
Select One
Yes
No
All- Conference or Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All- State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All- State Years
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
Activity 7
Activity 7
Select One
Football
Basketball
Baseball
Cheerleading
Cross Country
Golf
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Manager
Band
Chorus
Class Officer
Honor Society
Student Council
Paper Staff
Annual Staff
Ensembles
Boys State
Girls State
Pep Club
Letter Club
FFA
FCCLA
BPA
Skills USA
DECA
HOSA
Speech & Drama
Drill Team
Years
(Select all that apply)
FR
SO
JR
SR
Lettered
(Select all that apply)
FR
SO
JR
SR
Identify Office/Award 1
Identify Office/Award 2
Identify Office/Award 3
Identify Office/Award 4
Were you All-Conference or Division?
*
Select One
Yes
No
All- Conference or Division Years
*
(Select all that apply)
FR
SO
JR
SR
Were you All-State?
*
Select One
Yes
No
All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Were you Academic All-State?
*
Select One
Yes
No
Academic All-State Years
*
(Select all that apply)
FR
SO
JR
SR
Awards
Maximum of 150 characters
ACADEMIC INFORMATION
Class Rank/Number in Class
Such as: 2 /250
ACT Score Comp
*
Are you the Valedictorian?
*
Yes
No
Are you the Salutatorian?
*
Yes
No