Gordon Hay Scholarship
Gordon Hay Scholarship GORDON HAY SCHOLARSHIP STUDENT APPLICATION FORM SCHOLARSHIP AWARDS
The Gordon Hay Scholarship Fund is a competitive merit based scholarship. The scholarship is awarded annually to one selected graduating high school senior in the Greater Charlotte Region based upon pursuit of excellence, community engagement, artistic or technical accomplishment, academic achievement, financial need, references and desire to pursue a non-performance career in the performing arts. Applicants are advised to thoroughly review the guidelines for specific criteria relating to the scholarship. The scholarship, to be administered through the Education Department of Blumenthal Performing Arts, is designated for non-tuition expenses which may include technology, books and supplies, cultural experiences that will broaden understanding within the field of study, appropriate educational trips, and internships. The scholarship may be appropriately spent during any calendar year of the recipient’s four-year college career or apportioned over several or all four years. This is a nonrenewable scholarship. Scholarships are awarded without regard to race, color, ethnicity, national origin, religion, gender or sexual orientation.
APPLICATION AND INFORMATION RELEASE STATEMENT
The information provided in my application is, to the best of my knowledge, complete and accurate. I understand that false statements on this application may disqualify me from receiving a scholarship. Please complete this page online, print and submit along with other required documents. Be sure to keep a copy for your records.
PERSONAL INFORMATION (*questions for data collection purposes only) First Name: Last Name: Date of Birth: Age: Ethnicity* (Optional): Other Permanent Street Address: City: County: State: Mailing Address if Different: City County: State: Home Telephone: Cellular Telephone: Email: Parent/Guardian Name(s) and Address(es)
High School (HS)**: HS current cumulative GPA/scale**:
Middle Initial:
ZIP: ZIP:
Relationship:
HS Weighted cumulative GPA/scale**:
List colleges or universities that have accepted you for fall 2015 enrollment:
Intended Performing Arts Related Career: COLLEGE FINANCIAL INFORMATION (information below must match information from 2015-2016 Student Aid Report (SAR) Estimated Expenses Tuition/Fees: Room/Board: Books and Supplies: Transportation: Misc. Personal Expenses:
TOTAL Expenses:
2014-2015 Application
$ $ $ $ $ $ $
Financial Assistance Federal/State Grants: Scholarships: Work Study Program: Loans: Other
TOTAL Assistance:
$ $ $ $ $ $ $
2015-2016 SAR INFORMATION # in household # in college including you AGI ( Adjusted Gross Income)
$
EFC Score (from SAR)
Do not change formatting.
Gordon Hay Scholarship Applicant’s Name: Last Name
First Name
Middle Initial
Briefly describe below your training and experience to date in the area of performing arts (more detail may be included in your essay if you think appropriate):
List the extracurricular activities in which you have participated during your high school years—including community service. Please indicate any leadership roles or responsibilities:
I verify that all information provided above is accurate Applicant’s signature 2014-2015 Application
Date Your responses should not exceed this page. Do not change formatting.
Gordon Hay Scholarship Applicant’s Name: Last Name
First Name
Middle Initial
Essay Consider carefully the following: “How do I exemplify the characteristics of a Gordon Hay Scholar: a personal drive for excellence, a
commitment to community engagement, artistic or technical accomplishment and scholarly excellence?” Write an essay (no more than one page), please use examples to support your position.
2014-2015 Application
Page 1
Gordon Hay Scholarship GORDON HAY SCHOLARSHIP RECOMMENDATION FORM Applicant, please provide a copy of this form to the person(s) providing a letter of recommendation for you. Applicant’s Name: Last Name
First Name
Middle Initial
TO THE REFERENCE: The student named above is applying to the Gordon Hay Scholarship Fund. The Gordon Hay Scholarship Fund is a competitive merit based scholarship. The scholarship is awarded annually to one selected graduating high school senior in the Greater Charlotte Region who exemplifies 1) a strong pursuit of personal excellence, 2) commitment to community engagement, 3) exhibits artistic or technical accomplishment, 4) has a record of scholarly achievement, and 5) plans to pursue a non-performing career in the performing arts. The scholarship is administered by the Education Department of Blumenthal Performing Arts. Blumenthal Performing Arts does not discriminate on the basis of disability, age, race, color, religion, gender or any other classification protected by Federal and/or North Carolina state constitutional and/or statutory laws. Please return this form and your single-sided typewritten recommendation to the applicant (in a sealed envelope with your signature across the flap) so that he or she may submit it as part of a total application package. The Scholarship Committee will not review incomplete applications. The application deadline is February 28, 2015. Your Name:
Title: Indicate your relationship to the applicant: How long have you known the applicant? Mailing Street Address: City, State, ZIP: Daytime Phone: Email: Signature:
2014-2015 Application
Date:
The Gordon Hay Scholarship Fund is a competitive merit based scholarship. The scholarship is awarded annually to one selected graduating high school senior in the Greater Charlotte Region based upon pursuit of excellence, community engagement, artistic or technical accomplishment, academic achievement, financial need, references and desire to pursue a non-performance career in the performing arts. Applicants are advised to thoroughly review the guidelines for specific criteria relating to the scholarship. The scholarship, to be administered through the Education Department of Blumenthal Performing Arts, is designated for non-tuition expenses which may include technology, books and supplies, cultural experiences that will broaden understanding within the field of study, appropriate educational trips, and internships. The scholarship may be appropriately spent during any calendar year of the recipient’s four-year college career or apportioned over several or all four years. This is a nonrenewable scholarship. Scholarships are awarded without regard to race, color, ethnicity, national origin, religion, gender or sexual orientation.
APPLICATION AND INFORMATION RELEASE STATEMENT
The information provided in my application is, to the best of my knowledge, complete and accurate. I understand that false statements on this application may disqualify me from receiving a scholarship. Please complete this page online, print and submit along with other required documents. Be sure to keep a copy for your records.
PERSONAL INFORMATION (*questions for data collection purposes only) First Name: Last Name: Date of Birth: Age: Ethnicity* (Optional): Other Permanent Street Address: City: County: State: Mailing Address if Different: City County: State: Home Telephone: Cellular Telephone: Email: Parent/Guardian Name(s) and Address(es)
High School (HS)**: HS current cumulative GPA/scale**:
Middle Initial:
ZIP: ZIP:
Relationship:
HS Weighted cumulative GPA/scale**:
List colleges or universities that have accepted you for fall 2015 enrollment:
Intended Performing Arts Related Career: COLLEGE FINANCIAL INFORMATION (information below must match information from 2015-2016 Student Aid Report (SAR) Estimated Expenses Tuition/Fees: Room/Board: Books and Supplies: Transportation: Misc. Personal Expenses:
TOTAL Expenses:
2014-2015 Application
$ $ $ $ $ $ $
Financial Assistance Federal/State Grants: Scholarships: Work Study Program: Loans: Other
TOTAL Assistance:
$ $ $ $ $ $ $
2015-2016 SAR INFORMATION # in household # in college including you AGI ( Adjusted Gross Income)
$
EFC Score (from SAR)
Do not change formatting.
Gordon Hay Scholarship Applicant’s Name: Last Name
First Name
Middle Initial
Briefly describe below your training and experience to date in the area of performing arts (more detail may be included in your essay if you think appropriate):
List the extracurricular activities in which you have participated during your high school years—including community service. Please indicate any leadership roles or responsibilities:
I verify that all information provided above is accurate Applicant’s signature 2014-2015 Application
Date Your responses should not exceed this page. Do not change formatting.
Gordon Hay Scholarship Applicant’s Name: Last Name
First Name
Middle Initial
Essay Consider carefully the following: “How do I exemplify the characteristics of a Gordon Hay Scholar: a personal drive for excellence, a
commitment to community engagement, artistic or technical accomplishment and scholarly excellence?” Write an essay (no more than one page), please use examples to support your position.
2014-2015 Application
Page 1
Gordon Hay Scholarship GORDON HAY SCHOLARSHIP RECOMMENDATION FORM Applicant, please provide a copy of this form to the person(s) providing a letter of recommendation for you. Applicant’s Name: Last Name
First Name
Middle Initial
TO THE REFERENCE: The student named above is applying to the Gordon Hay Scholarship Fund. The Gordon Hay Scholarship Fund is a competitive merit based scholarship. The scholarship is awarded annually to one selected graduating high school senior in the Greater Charlotte Region who exemplifies 1) a strong pursuit of personal excellence, 2) commitment to community engagement, 3) exhibits artistic or technical accomplishment, 4) has a record of scholarly achievement, and 5) plans to pursue a non-performing career in the performing arts. The scholarship is administered by the Education Department of Blumenthal Performing Arts. Blumenthal Performing Arts does not discriminate on the basis of disability, age, race, color, religion, gender or any other classification protected by Federal and/or North Carolina state constitutional and/or statutory laws. Please return this form and your single-sided typewritten recommendation to the applicant (in a sealed envelope with your signature across the flap) so that he or she may submit it as part of a total application package. The Scholarship Committee will not review incomplete applications. The application deadline is February 28, 2015. Your Name:
Title: Indicate your relationship to the applicant: How long have you known the applicant? Mailing Street Address: City, State, ZIP: Daytime Phone: Email: Signature:
2014-2015 Application
Date:
