CHCI Scholarships & Awards Information Form-2019
For Graduating Students please fill out the following form to help the CHCI Awards Committee select winners for our in school scholarships

Please complete the form by May 31, 2019.

If you have any questions, please talk to Ms. C. Parsons or Mr. Husic (Math Office)
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Last Name *
First Name *
What is your approximate current average? *
What are your Post-Secondary Plans
Post-Secondary Locations and Programs *
In the space provided below, please list the names of the schools and the programs you applied to
Extra-Curricular Involvement
In the space provided below, please list all of your Extra-Curricular involvement here at CHCI.  You will want to include your participation in Athletics, The Arts, Clubs and if applicable Student Council.  Be sure to include when you participated in these events, for how long you participated and what your role was.
What are your approximate number of Community Service Hours? *
What are your Volunteer and/or Community Service Experiences?
In the space provided below, please list all of your Volunteer or Community Service Experiences. Please include only examples from when you were in High School.
What are your Work Experiences?
In the space provided below, please list all of your Work Experiences.
Do you have any special circumstances that the awards committee should be made aware of?
Things you may want to consider including: Financial Need, Decline in Academics, Active Participation in Athletics outside of school
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