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CEA Scholarship
INSTRUCTIONS:
1. Print this page
2. Complete all items in the application
3. Mail the application BY APRIL 15 , 2008 TO:
Denise Kukahiko
Chicopee Academy
650 Front St.
Chicopee, MA 01020
594-3434
ELIGIBILITY:
Student must be a son or daughter of a CEA member. Student must be a graduating high school senior by June, 2008.
AMOUNTS:
Scholarship Awards will be determined by available funds in each calendar year. The amount of each scholarship is $150.00. The number of scholarships awarded shall be determined by the number of qualifying applicants.
SELECTION:
The selection of students for the scholarship awards will be decided by the Chicopee Education Association Scholarship Committee. The committee will review all applications and award scholarships based on eligibility.
APPLICATIONS:
Applications shall be filed no later than April 15, 2008 of the graduation year.
NOTIFICATION:
Notification of scholarship awards will be mailed to selected students within thirty (30) days of final application date. Your high school guidance counselor will also be notified of your award.
APPLICATION
STUDENT MUST FILL OUT ALL ITEMS IN THE APPLICATION. THE APPLICATION WILL NOT BE CONSIDERED UNLESS EVERYTHING IS FILLED IN.
NAME ______________________________
ADDRESS ______________________________
CITY ______________________________ STATE __________ ZIP _______________
HIGH SCHOOL YOU ARE CURRENTLY ATTENDING ______________________________
HIGH SCHOOL ADDRESS ______________________________
CITY ______________________________ STATE __________ ZIP _______________
GUIDANCE COUNSELOR ______________________________
EXTRA CURRICULAR ACTIVITIES ______________________________
SCHOOL PLANNING TO ATTEND ______________________________
HAVE YOU BEEN ACCEPTED AT THE ABOVE NAMED SCHOOL? ______________________________
APPLICANT'S RELATIONSHIP TO CEA MEMBER ______________________________
NAME OF CEA PARENT ______________________________
SCHOOL OR DEPARTMENT WHERE CEA MEMBER WORKS ______________________________
IN THE SPACE PROVIDED, PLEASE WRITE OR TYPE A STATEMENT EXPLAINING WHY YOU HAVE DECIDED TO APPLY FOR THIS SCHOLARSHIP:
The statements in this application are true to the best of my knowledge and belief.
Date__________ Signature (student's)_______________________________
The following information must be verified by your guidance counselor:
Has student fulfilled her/his requirements for graduation by June 2008?________
Signature of counselor______________________________________________