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Welcome to the A.P.R.I Tacoma Chapter

APRI YOUTH SCHOLARSHIP PROGRAM

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  • Please print the application below. Submit answers on separate document.

2012 SUMMER SCHOOL SCHOLARSHIP APPLICATION
 
 
 
 
PART 1: PERSONAL DATA Complete all items as requested. Print answers neatly below.
 
 
 
Applicant Name:____________________
 
 
Current Mailing Address:________________
 
 
Email Address:____________________
 
 
Telephone Number:____________________
 
 
Student Identification Number:___________
 
 
Name of Parent or Guardian:____________
 
 
Name of High School:__________________
 
 
List of summer school course(s) needed:
(Attach copy of unofficial transcript from high school)

________________________________

 
 
 
Student Signature: ____________________
 
 
Parent Signature: ____________________
(Needed if under 18 years old)
 
 
 
PART II: PERSONAL STATEMENT
No more than one typed, single-spaced page of information. Be complete in your response to the following questions.
 
 
 
Explain why you feel you would make a good recipient for the APRI Summer School Scholarship?
 
 
 
Why should the scholarship review committee select you for this award?
 
 
 
Identify any unique accomplishments and challenges you have faced.
 
 
 
How will attending summer school help you to graduate with your peers?
 
 
 
 
 
PART III: This part should be completed by a Teacher, Counselor, Career Center Coordinator, Career & Technical Education Teacher, Advisor, or Administrator of the student’s choice. Please respond in the space provided below and sign the bottom of the sheet.
 
 
Why do you believe this student should be selected for this award?
 
 
 
Are there unique factors or special circumstances that make this student especially worthy of being selected for this award?
 
 
 
 
Additional Comments:
 
 
 
 
 
 
 
Signature___________________________________
 
 
Title____________________________
 
 
Phone:__________________________________
 
 
E-Mail__________________________
 
 
 
 
Thank you for your support of this student.
 
 
Best Regards from the Directors of the APRI Summer School Scholarship Program Committee. Applications must be received by the APRI Office by 5:00 p.m. May 21, 2012

A. Phillip Randolph Institute - Tacoma Washington Chapter