Scholarship Application Scholarship Application Scholarship Overview and Instructions The Johnstown Community Sportsmen’s Club offers $1,000 scholarships to eligible high school seniors in the following school districts or who are residents of the area served by these districts: Johnstown Monroe, Northridge, Utica, Watkins Memorial, Licking Heights, Lakewood, Granville, Newark, and Centerburg. Eligibility requirements for this scholarship include the following: Completed scholarship application ACT composite score of 50th percentile or better Proof of acceptance and enrollment to an accredited collegiate institution Recommendation from HS principal or guidance counselor or their designate Click the down arrow next to each section below to expand it and display that section. Name * First Last Name Last Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Phone * Email * Date of Birth * JCSC Member & High School Information If you are related to a JCSC member, provide the information below. Provide your high school information and graduation date. Name First Last Name Last Relationship (parent, grandparent, etc.) High School Name * Expected Graduation Date * Are you currently or have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? * Yes No College / Trade School Information Tell us about the school that you plan to attend. Name of School * School Address (Billing Office so we can send scholarship if awarded) * School Address (Billing Office so we can send scholarship if awarded) School Address (Billing Office so we can send scholarship if awarded) School Address (Billing Office so we can send scholarship if awarded) City City State/Province State/Province Zip/Postal Zip/Postal What is your planned field of study? * What is your acceptance and commitment to this school? * I have been accepted but have not committed to this school I have been accepted and have committed to attend this school I have not been accepted yet Other What is your acceptance and commitment to this school? Family Information Please provide the names of people in your immediate family (parents). Name * First Last Name * Last Relationship * Occupation * Name First Last Name Last Relationship Occupation Are either parent a veteran of the U.S. Military? * Yes No If yes, provide dates of service Community Service & Essays Where have you volunteered in your community during your high school years? Estimate how many hours have been performed at each. Highlight any service you have performed for the Johnstown Community Sportsmen's Club. * List your organizations, position, description of the activity, and hours per week of involvement. Provide an essay on the topic of "Describe your personal ambitions, interests, activities and employment." Minimum of 150 words in either a PDF or Word document. * Drop a file here or click to upload Choose File Maximum upload size: 5MB Provide an essay on the topic of "Describe your life values and why you deserve this scholarship." Minimum of 150 words in either a PDF or Word document. * Drop a file here or click to upload Choose File Maximum upload size: 5MB Financial Information Please provide information related to obtained scholarships and employment. If you have not received any scholarships or have not worked at paid employment state this in the boxes below. Tell us about the scholarships you are receiving from the school and other sources. Include the dollar amount received from each source. * How are you currently employed to contribute to your education? Include summer and school year jobs as well as monthly income. * Total family members in the household? * How many other family members are attending post secondary school? * Agreement & Submission I certify that this information is complete and accurate. Do you understand and agree to the terms listed above? * Yes, I understand and agree to the terms listed above. If you are human, leave this field blank. Submit
