Sunnyvale High School Alumni Association
Scholarship Application

Print this form, complete it and then mail it to:

Personal Information:

Applicants Name:_____________________________________________    D.O.B.:______________

Street Address:_______________________________________    SS# :_______________________

City:________________________    State:___________    Zip:__________     Phone:____________

Applicant's permanent address if different from above:
__________________________________________________________________________________

__________________________________________________________________________________

Name of SHS Alumni that Applicant is related to:_________________________________________

Street Address:____________________________________    Alumni's Class Year at SHS: 19____

City:_____________________    State:___________    Zip:__________     Phone:_______________

Applicant's relationship to the SHS Alumni listed above:__________________________ .

Financial Information:

Source of funds that will contribute to Applicant's education: (Check the items of applicant's sources of income for educational purposes)

Applicant:___     Parents:___    Other Scholarships:___     Grant Aid:___     Student Loans:___     Other:___

Explain each item checked (such as applicant's employment, how much are parents contributing, name of other scholarships received, etc....)

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________.

Parent's JOINT annual gross income: (check one)

$0.00 to 19k:___     20k to 39k:___     40k to 59k:___     60k to 79k:___     80k to 99k:___     100k and over:___

Name of Applicant's Employer:______________________   Supervisor's Name:________________

Street Address:_____________________________________    Applicant's job title:_____________

City:______________________    State:___________    Zip:__________     Phone:_____________

Educational Information:

For incoming college or vocational school Freshman:

Applicant's High School name:_____________________________     Graduation Date:__________

Street Address:___________________________________________     Phone:________________

City:____________________    State:___________    Zip:__________     Applicant's G.P.A.:_____

For continuing college or vocational school students:

Applicant's College or Vocational school name:__________________________________________ 

Street Address:____________________________________________     Phone:_______________

City:____________________    State:___________    Zip:__________     Applicant's G.P.A.:_____

Semesters / Quarters completed:_______ (circle either semesters or quarters)

If you are transferring to a different college or vocational school, please provide the following:

Applicant's NEW College or Vocational school name:_____________________________________

Street Address:____________________________________________     Phone:_______________

City:____________________    State:___________    Zip:__________     Start Date:___________

Applicant's Statement:

I declare that the above information is true and complete to the best of my knowledge. If requested by the SHSAA Scholarship Committee, I agree to provide proof of any information given.

Applicicant's Signature:______________________________     Date Signed:_______________________

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