Millbrook High School Local Scholarship Form
Complete this form by March 19, 2021, to apply for Millbrook High School local scholarships.
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Email *
Student Information
Full Name *
Street Address *
City *
State *
Zip *
Rank *
GPA *
Phone number *
Highest Verbal SAT Score
Highest Math SAT Score
Highest Writing SAT Score
Highest ACT Score
Intended Major/Field of Study *
Career Goal *
Colleges Where Applied *
Colleges Where Accepted *
College You Plan to Attend *
Do you have a part-time job? *
If yes, where?
How many hours?
Please select district of residence *
Elementary School Attended *
Middle School Attended *
List School Activities *
List Community Activities *
Parental Information
Parents' Names *
Street Address *
City *
State *
Zip *
If I receive an award, I would like the announcement to say son/daughter of
Father's Occupation
Father's Employer
Did father serve in the Armed Forces? *
If yes, which branch?
Mother's Occupation
Mother's Employer
Did mother serve in the Armed Forces? *
If yes, which branch?
Community/Professional Organizations *
List the community/professional organizations to which your parents belong.
Financial Information
You must complete this section if you would like to be considered for a scholarship based on financial need. In addition, complete the Free Application for Federal Student Aid (FAFSA), and return a copy of the Student Aid Report (SAR) to the guidance department. FAFSA applications can be completed online at www.fafsa.ed.gov or call 800-4-FED-AID (800-433-3243) to obtain a paper copy.
Parent's adjusted gross income
Tax Year
Number of brothers/sisters at home?
Number of brothers/sister in college?
Special Circumstances
If you have special circumstances you would like the scholarship committee to know, please explain.
Signatures
Please type your name below. By typing your name, you are officially signing this form.
Student's Signature *
To the best of my knowledge the information provided on this form is correct, and I understand that transcripts may be used for scholarship purposes.
Parent's Signature *
To the best of my knowledge the information provided on this form is correct, and I understand that transcripts may be used for scholarship purposes.
A copy of your responses will be emailed to the address you provided.
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