WBCA 2021 Scholarship Application Email Student Name * Class Rank * Weighted GPA * Rank: Top * % SAT Total * /1600 ACT Composite * /36 Home Address * Home Phone * Cell Phone * Birth Date & Place * Email address * How does the criterion of this scholarship match your background & experience? * Names of colleges to which you have applied: * 1. 2. 3. 4. 5. 6. Names of colleges to which have accepted you as of this date * 1. 2. 3. 4. 5. 6. Please indicate your first three college choices 1st * Total cost * 2nd * Total cost * 3rd * Total cost * What other sources of money can you count on for this school year (Do not include loans)? Sources: Estimated Parental Contribution? Estimated Parental Contribution Cost Estimated Student Contribution (your savings and earnings) Estimated Student Contribution Cost Other known financial aid (grants/awards/scholarships) Other known financial aid Cost Total Anticipated Financial Need? Total Anticipated Financial Need Have you filed a Financial Aid Form (Profile &/or FAFSA) with the College Scholarship Service? * Yes No Father's Name (or) Guardian’s Name * Address * Father/Guardian’s occupation * Employed by * Mother's Name (or) Guardian's Name * Address * Mother/Guardian’s occupation * Employed by * Total number of dependents in family (includes self and parents) * List family members attending college full time Name * Age * Relationship * Name * Age * Relationship * List fully all school and community activities, honors, prizes, offices held and grade: (attach a separate sheet if necessary.) Activities * Grade * Activities Grade Activities Grade files PDF or JPFG file format only Work Experience Job * From-To * Earnings * Job From-To Earnings Job From-To Earnings Job From-To Earnings I affirm that the above information is correct and that I wish to be considered for a scholarship to help fund post graduate education expenses. Date * Parent/Guardian Signature * Student Signature * DEADLINE: April 1, 2021 In addition to the application, please be sure to submit: Cover letter of introduction highlighting reason for applying and involvement, or intention to be involved since the COVID pandemic limited opportunities, in West Barnstable civic activities. It is important to think about this aspect of the Scholarship before senior year and volunteer by assisting at the Spaghetti Supper, the Village Festival, or Earth Day Clean-Up. PDF or JPG file format only High School transcript PDF or JPG file format only Letter of recommendation from a High School educator PDF or JPG file format only Letter of recommendation from an employer, club or organization PDF or JPG file format only
