A transcript must accompany this application.

WOLVES SCHOLARSHIP APPLICATION
Sponsored by the Wolves Club of Trumbull County
DEADLINE FOR SUBMISSION IS MARCH 9, 2018
Wolves Club scholarships and grants are awarded irrespective of race, color, creed, sex, or age with the only  criteria being the applicants financial need, scholarship, character and his or her attainment of a grade average of 2.5 or better.
APPLICANTS NAME_______________________________ COLLEGE BOARD SCORES: ACT __________  SAT _____________
LAST            FIRST          MIDDLE
HIGH SCHOOL________________________________        STUDENT CLASS RANK_______OF_________   GPA ________
COUNSELOR _____________________________________________
STUDENT HOME ADDRESS                          STUDENT E-MAIL ADDRESS __________________________________________
_____________________________________________________ BIRTH DATE _____________________________
NUMBER	STREET
__________________________________________________________________          SEX     ( ) MALE            ( ) FEMALE
CITY	STATE                              ZIP CODE
_______________________________________			      CITIZEN OF U.S.  ( ) YES            ( ) NO
PHONE   
GIVE NAMES OF COLLEGES WITH WHICH YOU HAVE APPLIED FOR ADMISSION.    ACCEPTED?
1.	______________________________________________________________________________________________________
2.	______________________________________________________________________________________________________
3.	______________________________________________________________________________________________________
PLANNED COURSE OF STUDY IN COLLEGE _____________________________________________________________________
HAVE YOU MADE APPLICATION FOR ANY OTHER SCHOLARSHIPS OR RECEIVED ANY? (IF SO, GIVE DETAILS)
1.	________________________________________________________________________________________________________
2.	________________________________________________________________________________________________________
3.	________________________________________________________________________________________________________
WHAT OTHER OUTSIDE ASSISTANCE HAVE YOU APPLIED FOR? (FULL DETAILS. PLEASE)
1.	________________________________________________________________________________________________________
2.	________________________________________________________________________________________________________
ARE YOU EMPLOYED? __________  PART TIME ________________ FULL TIME ________________________________________
WHERE________________________________________           AVG. MONTHLY EARNINGS _______________________________
WHAT PART HAVE YOU TAKEN IN THE ACTIVITIES OF YOUR SCHOOL, CHURCH, AND COMMUNITY?
STATE IN WHAT POSITION, OFFICER OR MEMBER 
1. ______________________________________________	2. _______________________________________________________

3. ______________________________________________	4. _______________________________________________________

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EXEMPTIONS CLAIMED ON LATEST U.S. INCOME TAX BY PARENTS. (      ) 
TOTAL SIZE OF PARENTS HOUSEHOLD. (     )     NAME              AGE           SCHOOL OR COLLEGE
1.	___________________________________________________________________________
2.	___________________________________________________________________________
3.	___________________________________________________________________________
4.	___________________________________________________________________________
FAMILY INCOME  ____________
REQUIRED INFORMATION PLEASE READ!
• Please attach a 300 word theme on the topic "WHY I NEED SCHOLARSHIP HELP."  This theme may be typed or written in ink.
• Please complete signature and authorization section on application.
• After completion of all required information, return to your guidance counselor or Trumbull County Wolves Scholarship, C/O David Leo; 511 Wellman Ave; Girard OH 44420
* Wolves Club Reserves the authority to request additional documentation of needed.
 
SCHOLARSHIP/GRANT CONDITIONS
As a condition for receipt of my Scholarship/Grant from the Wolves Club, I agree to the following:
(1) I will maintain a C average throughout my enrollment. To prove this, I will submit grade reports every semester to the Wolves Club during my Scholarship period.
(2) I will send a letter to the Wolves Club every year starting one year from the date of my award letter explaining my educational progress and status.
(3) I will provide the Wolves Club with my current address and phone number should it differ from that set forth on my scholarship application within thirty (30) days of any change in my address or phone number.
(4) I will attend school full time throughout my Scholarship period.
(5) I will use the scholarship/grant money during the time period for which it was awarded, which time period is set forth in my award letter.
   Date:______________________________  Applicant Signature ____________________________________________
CERTIFICATION AND AUTHORIZATION SECTION
This application is subject to the rules and regulations of National Association of the Wolves Club on Scholarship. The committee reserves the right to interview the applicants. Validity of awards is subject to correctness of information submitted on this form by the applicant.
I (we) declare that this Information report is true, correct and complete and agree to authorize the 'Wolves Club access to any document necessary to verify eligibility.

Student ________________________________________________________  Date ____________________________
Parent  ________________________________________________________  Date ____________________________
Address _________________________________________________________________________________________
City _______________________________________ State __________________ Phone ________________________
All future communications about this application will be via e-mail to the applicant.
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