Your name will not appear on the applications sent to the

Your name will not appear on the applications sent to the organizations.
Please make sure that your Student Number is accurate.
MOUNT OLIVE HIGH SCHOOL
Flanders, New Jersey 07836
GUIDANCE CENTER
_____________________________________________________
Scholarship Applying For
LOCAL SCHOLARSHIP GENERIC APPLICATION
1. MOHS Student Number: __________________________________ Please Circle: Male or
Female
2. COLLEGE INFORMATION:
College you plan/hope to attend ________________________________________________________________
Intended college major ____________________________________________________________________
Estimated yearly college expenses _______________________________________________________
3. PERSONAL INFORMATION: You may attach a separate list if necessary.
Extracurricular activities: List school activities, position(s) held and year(s) of participation.
Attach additional page if necessary.
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
List community activities, position(s) held and year(s) of participation:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
List work experience and duration of employment:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
4. Academic Résumé:
SAT SCORES: Critical Reading __________ Math ____________ Writing _________ Date___________
Critical Reading __________ Math ____________ Writing _________ Date ___________
ACT SCORES:
English _________ Math _________ Reading ________ Science _________ Composite __________
English _________ Math _________ Reading ________ Science _________ Composite __________
Decile in Class: _______________________
List courses taken in your junior year. Include levels and final grade.
Course
Grade
Course
Grade
____________________________ __________
____________________________ _____________
____________________________ __________
____________________________ _____________
____________________________ __________
____________________________ _____________
____________________________ __________
____________________________ _____________
List courses you are currently taking. Include levels and grade to date.
Course
Grade
Course
Grade
____________________________ __________
____________________________ _____________
____________________________ __________
____________________________ _____________
____________________________ __________
____________________________ _____________
____________________________ __________
____________________________ _____________
5. ON A SEPARATE PAGE type a brief essay on “why you should be considered for the Russell
Nagel Sports Scholarship.”
THIS IS MANDATORY!!!
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