Scholarship Application

SCHOLARSHIP APPLICATION

Name of Applicant: ___________________________________________

Home Address: ___________________________________________

Phone No: ___________________________________________

Social Security No: ___________________________________________

Name and Relationship to NESEE Member: _______________________

Educational Background: _______________________________________

High School: _______________________________________

College or University: _______________________________________

Graduation Date: _______________________________________

Degree: Major/Minor _______________________________________

List previous honors, distinctions, accomplishments & volunteer work

______________________________________________________________

Explain briefly your educational goals:

______________________________________________________________

Explain briefly your need for scholarship funds:

______________________________________________________________

Please have your faculty advisor submit your transcript for the latest completed semester.

The above statements are correct to the best of my knowledge.

____________________________ __________________________
Applicant's Signature Signature of NESEE Member

NOTE: All persons who have access to the information contained in this application will treat the information with absolute confidentiality. All applications must be submitted no later than July 30th. There are two principal factors that are taken into consideration in awarding these scholarships: one, which carries the most weight, concerns the promise of success in college on the part of the applicant, the second is grade standing. The applicant must be the member, spouse, child or grandchild of an NESEE member in good standing. These scholarships are awarded after the first semester of an accredited 2-4 year college degree.

Please send completed application to: NESEE, Box 596, Hudson MA 01749