The Talent Search Scholarship Application

SPARC/Talent Search Scholarship Application

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Educational Opportunity Centers, Inc.

239 Schuyler Avenue

Kingston, PA 18704

Please print clearly or type

1. Name_____________________________________________________________

Last First Middle Initial

2. Address___________________________________________________________

Street

__________________________________________________________________

City Zip Code Home Phone

3. Father’s Name______________________________________________________

Last First

Address (if different from yours) ____________________________________

4. Mother’s Name_____________________________________________________

Last First

Address (if different from yours) ____________________________________

5. How many people in your household are in college now? ___________

Please list all people living in your household:

Name Age School Relationship

__________________________________________________________________

6. List sources and amounts of non-taxable income your family received:

Source: $ Amount

___________________________ ___________________________

7. Do you, the student, have any dependants? ________ If yes, how many? _____

8. What high school do you attend? ______________________________________

9. How many years have you been in the Talent Search/S.P.A.R.C. program? _____

10. Does either of your parents have a Bachelor’s Degree? __________

11. SAT scores: Verbal __________ Math __________ GPA ___________

12. What major do you intend to pursue? ___________________________________

13. Which school do you plan to attend? ____________________________________

14. School/Community Activities (clubs, athletics, student government, scouts,

church, music, community services)

Name of Activity Number of Years Offices Held/Awards

__________________________________________________________________

15. Academic Honors Received:

Name Purpose Date

__________________________________________________________________

16. Work Experience

Job Title Place of Employment Dates Employed Hrs/Wk

__________________________________________________________________

17. We commend you on your desire to further your education. Please tell us (either by writing

a paragraph or making a list) what motivates you and some of the challenges you've met

along the way. Aspects might include job or family responsibilities, school or financial

concerns, leisure or community activities, social, physical, spiritual, or personal matters.

18. What impact has the Talent Search/S.P.A.R.C. Program had on you and

why would you recommend the program to others?

READ, SIGN, AND DATE

Certification: All of the information provided by me on this form is true and complete to

the best of my knowledge.

I agree to give proof of the information I have given in this application.

I agree to use the scholarship money for educational purposes.

May we release your name for publicity purposes? Yes _____ No _____

_____________________________________________ _________________

Signature Date

Please mail application postmarked by April 1 to:

SPARC Scholarship

Educational Opportunity Centers, Inc.

239 Schuyler Avenue

Kingston, PA 18704

APPLICATIONS POSTMARKED LATER THAN APRIL 1 WILL NOT BE CONSIDERED

SPARC/TALENT SEARCH RULES

This $500* scholarship is granted by the Educational Opportunity Centers, Inc. to high school seniors
who have participated in the Talent Search Program and plan to continue their education.

* Lesser amounts are awarded to runners up.

THE SPARC/TALENT SEARCH SCHOLARSHIP

1. The applicant must be a citizen of the United States.

2. The applicant must be in the Talent Search Program for at least 2 years.

3. The applicant must be a first generation college student.
(Neither parent has earned a four-year college Bachelor's degree.)

4. The application must be postmarked by April 1. Late Submissions will not be considered.