Green City Alumni Association Scholarship 
The Green City Alumni Association will present a scholarship to a deserving senior student of Green City High School who displays excellence in leadership, character, school activities and the intent to go to college or trade school. The amount of the scholarship is estimated at $800. Funds from the scholarship will be paid directly to the student after verifying college enrollment and class schedule for each semester. Applicants must complete the application and submit a 200 word essay regarding the reason for wanting/needing this scholarship, along with future plans of the student. The Alumni board along with the counselor, one administrator, and teachers from the school will choose the recipient of this scholarship.  The application form should be completed and returned to Mrs. McConnell by 3:00 p.m. on March 1, 2017
Full Name: ___________________________________________________________________ 
Home Address: ________________________________________________________________ 
Contact Number: _______________________________________________________________ 
Full Name of Parent/Guardian: ____________________________________________________ 
Father’s Occupation: ____________________________________________________________ 
Mother’s Occupation: ___________________________________________________________ 
# of People in your Household: ____________________________________________________ 
GPA: ______________________________ Class Rank: _____________________________ 
Career Goals: ___________________________________________________________________ 
Chosen College or Trade School: ____________________________________________________ 
Have you been accepted? _________________________________________________________ 
Test Scores: ACT____________      
 
List High School Activities, and Offices Held: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________List High School Honors: 
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
List Community Activities: 
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
Financial Need: 
Amount Needed for Tuition: _________________________________________ 
Parent’s Contribution: ______________________________________________ 
Applicant’s Contribution: ____________________________________________ 
 
The above information is correct to the best of my knowledge. 
 
Signature of Applicant: _____________________________________________ 
 
Signature of Counselor: ____________________________________________