CLICK HERE to download SCHOLARSHIP FORM
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:
Evie Kidder
Medina County Retired Teachers Association of MCRTA
277 Winston Road
Akron, Ohio 44313
Oldevie@sbcglobal.net for questions
