Geneseo Local Scholarship Application





Click on the link below for instructions and information on all Local Scholarships

 

Geneseo Local Scholarships Instructions and Descriptions 2018

 

 



Local Scholarship


 

Name of Scholarship

 

 



Applicant's Information


 

 

Name of Applicant



Age of Applicant


Address of Applicant


 

Class Rank



Cumulative GPA

 

 

Phone Number

 

 

Email Address

Number of Siblings

 

School You Currently Attend




Parent/Guardian Information


 

 

Father's/Guardian's Name

 

Father's/Guardian's Employer

 

 

Mother's/Guardian's Name

 

 

Mother's/Guardian's Employer

 

 



Student Activities


 

Extra Curricular Activities - please list and tell why you decided to participate in these activities.

 

 

Community Activities:

 

 

Church Activities:



School Information

 

Name of School you plan to attend

 

 

Major


 

Estimated annual total cost $

 

Annual parent contribution $

 

Your annual contribution $

 

 

Do you plan on working during the college school year?

 

 

Are you willing to borrow to complete your education?

 

 

Briefly state why you want to attend college

 

 

Briefly list honors/awards you have received while in high school


 

Brief work history


 

IF REQUIRED BY SCHOLARSHIP SPONSOR: With their permission, please list names and phone numbers of references as requested by scholarship sponsor.

 

References Please provide Name, Phone Number and Occupation

 

1.

 

2.

 

3.

 

4.


 

 

IF REQUIRED BY SCHOLARSHIP SPONSOR: Please click to expand the Supplemental Information Section below and/or the Financial Disclosure field.


Essay Field / Information Box

You may type in or copy/paste information in the field below.

 

 

 

 

 

Financial Disclosure Form

 

The following scholarships require additional Financial information.

 

Geneseo Foundation Scholarships
Ralph and Dorothy Graham Scholarship
Lyle and Helen Henry Scholarships
Livengood-Resser Scholarship

 

If you are not applying for a scholarship listed above please do not fill out this portion of the application.



 

I live with

 

Father's Gross Income

 

Mother's Gross Income

 

Applicant's Place of Employment

 

Average Gross Income



College Financial Aid you have Received:


 

Pell Grant

 

Illinois Guaranteed Loan Program

 

College Gift Aid

 

Supplemental Education Opportunity Grant

 

Illinois State Scholarship Commission

 

Court Ordered Support for Higher Education

 

Other

 

Total Funds Currently Available for Education (All Sources)

 

In 100 words or less state your educational goals and any financial history, which may factor into your postsecondary decisions.

 

 

 

 

 



Upload Additional Information


 

Here you can upload a PDF or Word file which contains letters of recommendation and or student transcripts, if required for the scholarship you are applying.






 



Sign and Submit


 

I agree that I am the person whose name is listed below.


 

Applicants Name

 

 


 



Copyright 2018