THE ACADEMIC SCHOLARSHIP APPLICATION:  2012-2013 School Year
Thank you for your interest in the Prospect Heights Dollars for Scholars Undergraduate Academic scholarship program. You have taken the first step towards qualifying for one of seven $2,500.00 academic scholarships made available through generous donations from local businesses, community groups and surrounding community residents. One of the seven scholarships offered will be a four-year scholarship, renewable annually.

Please complete the online form below in its entirety to initiate the application process. Additional application requirements apply. Click on the Academic Scholarship PDF packet for complete details.  If you prefer, you can download and print a PDF copy of the Application to mail in.


NOTE: YOU MUST BE A RESIDENT OF PROSPECT HEIGHTS OR WHEELING TO APPLY

ALL FIELDS ARE REQUIRED.
First Name:  
Middle Name:  
Last Name:  
Address:  
City:           State:            Zip: 
Telephone:  
E-mail:  
High School Attended: 
Year Graduated From High School: 
Post High School Program You Are Planning To Attend: 

List Your Accomplishments In Your Special Area of Interest Including Awards or Recognitions
Accomplishments Length of time involved Awards/Recognitions

Other financial hardship considerations that need to be noted (medical expenses, recent lay-offs, etc.)

Essay Question: In 250 words or less, describe your career aspirations and identify one single experience that most strongly influenced your decision to pursue that career. If you are undecided, you may address an area of personal interest and how you might incorporate that interest into a field of study.
Questions? E-mail lquinn@phdollarsforscholars.org
A checkmark must be placed in this box to confirm this is your electronic signature. It also signifies you understand and agree to the instructions outlined in the Academic Scholarship PDF packet.

 
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