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      SCHOLARSHIP       
          APPLICATION

CLICK HERE to download Scholarship Application

      MEDINA COUNTY RETIRED TEACHERS ASSOCIATION
         
SCHOLARSHIP APPLICATION

Applicant must be a Medina County, Ohio, high school graduate and a full-time student in a college preparing to enter the education profession.

NAME:______________________________________
PHONE:____________________________
HOME ADDRESS:______________________________
                         _______________________________
SCHOOL ADDRESS:_____________________________
                                    ___________________________
HIGH SCHOOL ATTENDED:_______________________
YEAR GRADUATED:_____________ 
RANK IN CLASS ______  OF ___________GRADUATES
NEXT FALL I WILL BE A   _____JUNIOR  _____SENIOR AT
   _________________________________________
 GPA TO DATE:___________________________

CAREER PLANS IN EDUCATION: ____________________
_____________________________________________
_____________________________________________
_____________________________________________
COMMUNITY SERVICE/VOLUNTEER WORK:___________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

AWARD/HONORS:_____________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

HOBBIES/INTERESTS:_________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
WORK EXPERIENCES:____________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

YOUR PERSONAL QUALITIES/ATTRIBUTES THAT WILL ENABLE YOU IN YOUR EDUCATIONAL CAREER:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________

FAMILY BACKGROUND-includes professions of parents, any siblings, etc.  Include your financial need, responsibilities and any other information relevant to help the scholarship committee make a decision.
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

RECOMMENTATIONS:  Three letters must be received from people who know you well.  One MUST be one of your college professors.  Choose reliable members of the community, neighbors, employers, or former teachers for the other two.  PLEASE LIST NAME, POSITION, and PHONE NUMBER.

1.___________________________________________
    __________________________________________
2.___________________________________________
   ___________________________________________

3.___________________________________________
   ___________________________________________

DEADLINE for receipt of applications and recommendations is
      MAY 1 of this year.

Mail application and recommendations to:

Kay Rasor
2235 Osage Trail
Wadsworth, Ohio
44281-8475
330-326-2888

grasor@neo.rr.com    for questions