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THE COLLEGE CLUB OF HARTFORD
HARTFORD, CONNECTICUT
January 20
21
To The Applicant:
The College Club of Hartford offers a limited number of $1500 scholarships to qualified female
students who are seniors in high schools in Hartford County and have applied to accredited four-year
colleges or universities this year.
In awarding these scholarships, The College Club is primarily interested in academic achievement,
character, leadership, and financial need. Applicants must be in the top 10% of their class.
Applications will be reviewed and scored by the Scholarship Committee of The College Club. Finalists
will then be interviewed. Scholarship winners will be notified of their award
promptly after
the
interview
s
. Scholarship recipients and the
ir
parents
/
guardians will be guests of The College Club of
Hartford at a reception
to be held virtually or live in June.
ALL MATERIALS FROM YOU, YOUR GUIDANCE DEPARTMENT, AND YOUR REFERENCES MUST BE
POSTMARKED BY WEDNESDAY, MARCH 17, 2021 AND SENT TO THE FOLLOWING PHYSICAL
ADDRESS:
The College Club of Hartford
c/o Cynthia M. Considine
112 Beverly Road
THE COLLEGE CLUB OF HARTFORD SCHOLARSHIP APPLICATION
PART I – PERSONAL & FAMILY BACKGROUND Date________________________ Name_______________________________ Date of Birth_________________
Address_____________________________ Telephone Nos. ________________________________ ____________________________________
High School__________________________________
Reside with: Both Parents_______Father________Mother______ Other_______________________________________
Applicant’s Email
Address:________________________________________________________________
FATHER MOTHER
Name:___________________ Name:__________________
If Deceased (Yr. of Death)__________ If Deceased (Yr. of Death)_____________ Address: (If different)_________________ _________________________
__________________________________ _________________________ Occupation_________________________ _________________________ Place of Employment_________________ _________________________ Employer’s Address__________________ _________________________ __________________________________ _________________________ How many children in family, including yourself?___ Ages:____________________ To which colleges are you applying?
____________________________ ____________________________
(You may use the reverse side of this sheet for any item requiring more space, or you may submit a form resume).
School Co-Curricular Activities (List honor societies, sports, clubs, & leadership roles in this section)
Year Office Held
____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________
Non-School Activities or Jobs Year Office Held or Job Type
____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________ ____________________________________ ____________________ ________________
(You may use the reverse side of this sheet for any item requiring more space.)
List any other interests or hobbies________________________________________________________ List any honors, awards, or special recognition you have received:
A. In
School_______________________________________________________________ ____________________________________________________________________ B. Out of
PART II FINANCIAL INFORMATION
How many brothers or sisters will be in college next year?______How are their college expenses being met?______________________________________________________________________
For how many persons outside the immediate family are your parents financially responsible? __________________________________________________________________________ Relationship:______________________________
Have you applied to the colleges for financial aid? ______Which ones?
_________________________________________________________________________ _________________________________________________________________________ Anticipated Expenses of the First Year at
Your First Choice College: How Do You Plan to Meet these Expenses? College_________________ From Your Savings $______________ Tuition $________________ Parent Contribution $_____________ Room & Board $__________ Other-Specify Sources $___________ Personal $_______________
Travel $_________________ Additional Amount Needed $__________ Total $___________________ Total $___________
If you cannot meet your expenses with scholarship aid, what do you plan to do? A. Take out a loan for the remaining amount needed_____________________ B. Change first choice college to less expensive one______________________ C. Other_________________________________________________________
ITEMS REQUIRED FOR YOUR APPLICATION
PLEASE MAKE SURE THE FOLLOWING ITEMS ARE INCLUDED; OTHERWISE WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION
PART I PERSONAL & FAMILY BACKGROUND
Please be sure that you have responded to EVERY ITEM IN PART I in the preceding application. PART II FINANCIAL INFORMATION
Please be sure that you have responded to EVERY ITEM IN PART II in the preceding application. PART III LETTERS OF REFERENCE
Include TWO letters of reference, one from your guidance counselor or a teacher at school and a second from a qualified person who can attest to your character and extra-curricular activities.
PART IV TRANSCRIPT/STANDARDIZED TEST SCORES
Include a transcript of your school record through THE FIRST SEMESTER OF SENIOR YEAR. Be sure your SECOND QUARTER MARKS are included and your CLASS RANK. If available, please also include standardized test scores. PART V ESSAY (preferably 200-500 words)
Write a brief essay, on a separate page, telling us why college is important to you, describing how you spend your time outside school and relating, if possible, an experience that gave you satisfaction.
PLEASE BE SURE YOU HAVE RESPONDED TO EVERY ITEM LISTED ABOVE. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT ALL MATERIALS FROM YOU, YOUR GUIDANCE DEPARTMENT, AND YOUR REFERENCES MUST BE POSTMARKED BY WEDNESDAY, MARCH 17, 2021 AND SENT TO THE FOLLOWING PHYSICAL ADDRESS:
The College Club of Hartford c/o Cynthia M. Considine 112 Beverly Road
