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Scholarship


WITAMemorial 2021Any potential 2021high school graduate who is the child of an active or deceased WITA member is eligibleThe basis upon which students are judged includes academic achievement particip

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Document on Subject : "Scholarship"— Transcript:

1 WITA Memorial Scholarship 2021
WITA Memorial Scholarship 2021 Any potential 20 2 1 high school graduate who is the child of an active or deceased WITA member is eligible. The basis upon which students are judged includes academic achievement participation in school activities and economic need . Directions for Completing Application : 1. Please complete the attached appl ication for the WITA Memorial Schola rship . 2. Please inclu de your h igh school transcrip t - an official copy is not necessa ry . 3. Please attach your best college applicati on essay. Also, include a paragraph (100 to 200 words) about why you want th is scholarship and/or how you will use the award ( see page 6.) 4. Please r eturn the completed application (with transcript and college application essay attached) and to the West Is lip Teachers’ Association’s offic e no l ater than Friday, April 23 , 20 20 . Mr. Joseph M. Dixon , President West Islip Teachers’ Association P.O. Box 428 Babylon, NY 11702 Phone: (631) 587 - 8040 F ax: (631) 587 - 5437 Joseph M. Dixon, WI TA President Karen McCarthy , Scholarship Committee Chairperson 2 1. Applicant’s Name: __________________________________________ Parent(s) Name(s): __________________________________________ WITA Chapter: __________________________________________ Building(s) Assigned to: _______________ ___________________ _____ ___ 2. Educational program planned: Four - year _____ Two - year _____ Other _______ 3. What college or school do you plan to attend? _______________________________ 4. What are your vocational plans? ______________________________ _________ ____ ___ ______ _________________________________________________________ __________ ______ 5. Brothers and sisters living at home: Name Age Grade _______ _____

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_____ _______ _____ _____ _______ _____ _____ 6. List any brothers or sisters in college at t his time: Year in School Tuition per year Aid Received ____________ _____________ ___________ ____________ _____________ ___________ 7. Whil e attending school, will you live at home? _________ or at college? ________ 8. List dependents, other tha n children, living at home: ________________________________ __________________________________ ________________________________ _____________ _____________________ Sources of family income: WITA Memorial Scholarship 3 Father’s occupation: _____________________________________ ______________ Father’s earnings (before taxes): _________________________________________ Mother’s occupation: _________________________ _________________________ Mother’s earnings (before taxes): _________________________________________ 9. Do yo u or your parent(s)/guardian(s) receive any benefits such as S oc ial Security benefits, Life Insurance benefits, Pensions, Child Support , Alimony , Veteran’s Administrations Benefits , or other income? Yes or NO TOTAL: _______________ Gross 1 0 . a. Does y our family own your home? _______ ______ If so, what is the monthly mortgage payment (including taxes)? __________ b. Does your f amily rent your home? ___________ If so, what is the monthly rent? ___________ 1 1 . Have you had any extra ordinary expenses the past few years? If so, please explain. ________________________________________________ __________________________ __________________________________________________________________________ _________________________________________ _________________________________ 1 2 . How much will your first year of college or school cost? __ __________________________ Please explai n: __________________________________________ _______

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_________ ______________________________________________________ __________________ __ __ _______________________________________________________________________ __ ___ 1 3 . How much can your family give y o u? _______________________ 1 4 . List any other Scholarships and/or Financial Aid received: ___________________________ _________ _____________________________________ ___________________________ ____________________________________ __________ _____________ _____________ ____________________________________ ___________ 1 5 . Have you other sources of help? _______________________ _________________________________________ __ __ _________________________________________________________________________ __________________________________________________________________________ COMMUNITY ACTIVITIES AN D ACHIEVEMENTS 4 Please list activ ities and indicate achievements in community, church, civic associations, Boy Scouts, Girl Scouts, Little League, etc.: __________________________________________________________________________________________ ____________ _________________________________ _____________________________________________ __________________________________________________________________________________________ _______________________________________________________________________________________ _ __ ______________________________ ____________________________________________________________ __________________________________________________________________________________________ _________________________________________________________________________ _________________ ________________ ___________________________________________________________________ _______ _________________________________________________________________ _________________________ _________________________________________________________ _________________________________ Please describe your work experience: Pa st: ________________________________________________________________ __

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____________ __________________________________________________________________________________________ _______________________________________ ___________________________________________ ________ __________________________________________________________________________________ _______ Present: _____________________________________________________________ _________ ________ __________________________ ___________________________________________ _____________________ __________________________________________________________________________________________ ___________________________________________________ _______________________________________ Future: ( Indicate this summer, employment plans for the next school year, etc.): __________________________________________________________________________________________ _______________________________________________________________ _____________ ______________ __ ___________________________________________ _____________________________________________ _____________________________________________________________________________ _____________ SCHOOL ACTIVITIES AND ACHIEVEMENTS 5 Please list School Activities and Achie vements for grades 9 – 12 such as student go vernment, class officer, publications, clubs, music, Honor Society, honor roll, committees, athletic and non - athletic awards, sports and cheerleading, school services, etc. Activity Number of Years __________________________________________ _____ _______ _______________________________________________ _______ _______________________________________________ _______ _______________________________________________ _______ __________________ _____________________________ _______ ___ ____________________________________________ _______ _______________________________________________ _______ _______________________________________________ _______ ______________________________________ __

5 _______ _______ ______________
_______ _______ _______________________ ________________________ _______ _______________________________________________ _______ _______________________________________________ _______ _______________________________________________ _______ ___________________________________________ ____ _______ _______________________________________________ _______ _______________________________________________ _______ _______________________________________________ _______ ___________________ ____________________________ _______ ____ ___________________________________________ _______ _______________________________________________ _______ _______________________________________________ _______ _______________________________________ ________ _______ ________________________ _______________________ _______ _______________________________________________ _______ _______________________________________________ _______ _______________________________________________ _______ Please answer in a paragraph (100 to 200 wo rds) why you want this scholarship and/or how you will use the award . . . . . 6 __________________________________________________________________________________________ ____________________________________________ ____________________________________________ __ __________________________________________________________________________________________ __________________________________________________________________________________________ _____________________________ ____________________________________________ _________________ __________________________________________________________________________________________ __________________________________________________________________________________________ _______________ ____________________________________________ _______________________________ _______________________________________________

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___________________________________________ _________________________________________________________________________________________ _ ___________________________________________ _______________________________________________ __________________________________________________________________________________________ __________________________________________________________________________ ________________ ____________________________ ______________________________________________________________ __________________________________________________________________________________________ ___________________________________________________________ _______________________________ _____________ _____________________________________________________________________________ __________________________________________________________________________________________ _____________________________________________ ____________________________________________ _ __________________________________________________________________________________________ __________________________________________________________________________________________ _____________________________ ____________________________________________ _________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ______________ ____________________________________________ ________________________________ __________________________________________________________________________________________ _________________________________________________________________________________________ _ __________________________________________ ________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________ ________________ ____________________________ ______________________________________________________________