Kettle Range Conservation Group Project Scholarship Application
Applications are due May 1st.
Please complete this application using your favorite word processing software, print, and mail to address below.

Top of Form 1
PART ONE: General and Personal information
Student name
First:						 M.I. 
Last: 
SSN#:

Address:
City:
State:				 Zip:
Phone: 

Parent/Guardian Name(s):

Address (if different from above): 
City:
State: 				 Zip:
Phone:

School and Employment Information
Years at school:
Cumulative GPA:
Are your currently employed? 
If yes, Employers name:
Employers address:
City:
State: 				Zip:

List employment for last two years (employer, position, dates employed):



 
Other High Schools attended (name, city and state):




Colleges to which you have applied:



Colleges to which you have been accepted:


Note: The Project Scholarship Committee will give preference to student applicants seeking environmental or life science degrees.
College of preference: 

Major degree preference: 

PART TWO: General Essay Questions
Please answer each question completely. 
A. Provide information you feel will help the scholarship reviewers gain an understanding of who you are, what you have done, and where you intend to go in life. Include why you are going to college, your academic and personal goals, your greatest accomplishments and why you feel you are deserving of a scholarship. (You can cut and paste into this document)

B. If you had the authority to change your school in a positive manner, what specific changes would you make? 


C. Please answer the following questions with a 250- 400 word essay:
What do you see as the greatest threat to the environment today and what ideas or solutions do you have to help solve the environmental problems of today and in the future?

PART THREE: Additional Information Requirements
Extracurricular Activities Information --  list non-athletic activities you have participated in (4-H, choir, band, church groups, volunteer organizations, others) Include: Year; Activity/Organization; Office held; Awards:


Athletic activities you have participated in. Include: Year; Activity/Organization; Position held; Awards:

A COMPLETE APPLICATION PACKET SHALL INCLUDE:
Completed Scholarship Application 
Most recent High School transcripts 
Three letters of recommendation (at least two must be from school, others can include club sponsors, ministers, employers, 4-H leaders, or activity advisers) 
Completed activities list 
Responses to general questions and essay
Submit this application. Mail no later then May 1st to:
Kettle Range Conservation Group
Project Scholarship 
P.O. Box 150
Republic, WA 99166