Scholarship Application Form - Lane Tech Alumni Association

SCHOLARSHIP APPLYING FOR: *

If you meet the required criteria, you can apply for more than one scholarship. You must submit a separate application for each scholarship that you choose to apply for.

STUDENT INFORMATION

Applicant Name *

First

Middle

Last

Primary Email (DO NOT USE CPS EMAIL) *

Use a personal email address. Your CPS email will expire when you graduate. If you are awarded and we can not reach you, your award may be jeopardized.

Secondary Email (DO NOT USE CPS EMAIL) *

Birthdate (MM/DD/YEAR) *

Gender *

Ethnic Background *

Address (street, apt#, city, state, zip code) *

Phone (primary) *

Phone (back-up) *

FAMILY INFORMATION

Mother's Name *

First

Last

Mother's Occupation *

Mother's Employer *

Father's Name *

First

Last

Father's Occupation *

Father's Employer *

Sibling Name(s) and Age(s) *

ACADEMICS

Division *

Graduation Date (Expected) *

Counselor Name *

First

Last

Counselor's Email *

Current Major at Lane Tech *

Unweighted GPA *

Unweighted GPA is the most common way to measure academic performance in high school. Unweighted GPAs are measured on a scale of 0 to 4.0 and do not take the difficulty of your courses into account.

Weighted GPA *

A Weighted GPA is a GPA that takes the difficulty of your classes into account along with your grades.

SAT Score (range 400-1,600) *

How many times have you taken the SAT exam? *

College Major (Intended) *

College Minor (If Applicable)

College/University 1 (Considering) *

College/University 2 (Considering)

College/University 3 (Considering)

Transcript (PDF Format) *

Click or drag a file to this area to upload.

Please include your complete 4 year transcript.

Teacher/Faculty Letter of Recommendation (PDF Format)

Click or drag a file to this area to upload.

The recommendation letter should come from a Lane Tech teacher/faculty who has taught you in the last four years. College letter of recommendation is acceptable. PDF files will be accepted. Please ensure that your full name is included in the titles of your file attachments. If your recommendation letter is being sent directly to the LTAA Scholarship Committee, please have teachers/faculty email it to GoLaneGo@LaneTechAlumni.org. YOUR FULL NAME MUST BE IN THE SUBJECT LINE OF THE EMAIL.

FINANCIAL BACKGROUND

Financial History Statement *

PLEASE BE SPECIFIC. What personal and financial difficulties have you encountered during your high school years?

Financial Need Statement *

PLEASE BE SPECIFIC. How would this scholarship award assist you and your family in funding your college education expenses?

Financial Award List *

PLEASE BE SPECIFIC. List any other scholarships or financial awards, including dollar amount(s), you have received to date.?

EXTRACURRICULAR ACTIVITY LIST *

We want to know what you are passionate about. Including but not limited to: honors and academic awards, service learning, clubs, fine arts, music, sports, employment experience, volunteer experience, community service, special projects and leadership positions.

PERSONAL STUDENT ESSAY *

The personal student essay will vary with each scholarship. Please refer to the scholarship description for specific essay prompt and details.

SPECIAL NOTE DOCUMENTS / SAMPLES OF WORK

Click or drag files to this area to upload. You can upload up to 5 files.

Is there anything that we have not asked for that you strongly feel would benefit your application? Please attach it here, i.e. samples of art work or pieces of writing.

Acceptance

Application Acknowledgment *

I acknowledge that all information on this application is complete, accurate and honestly presented to the best of my knowledge and belief. The required essay and documents submitted for consideration are my own work. I understand that in order to be eligible for an LTAA managed scholarship, I must meet the minimum standards relating to the criteria specified in each scholarship. By clicking on "Yes", I hereby authorize release to the LTAA Scholarship Committee all information in this application and supporting documents. I understand that the LTAA Scholarship Committee will make the final decision.

Applicant Signature *

Type your full name.

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