Georgia McHugh Scholarship Award

The following items are required and should be completed and/or attached:

1. A completed and signed application cover sheet

2. A completed application form

3. Official school transcript,

4. Student Aid Report from FAFSA or College Scholarship Service,

(complete copy, a confirmation sheet is not sufficient)

5. Parents income reported on most recent income tax filing

6. 250-word essay describing a role model in your life,

7. Three letters of recommendation from each of the following: School

principal or counselor or teacher, Community member, and One of

your choice (non-family member)

8. OPTIONAL: Any other information that would assist the Selection

Committee in understanding the applicant’s ability to complete his/her

program of study.

I understand that all required information must be submitted or postmarked by March 15th.
I am aware that if all of the above required documents are not submitted and/or postmarked to the Soroptimist International of San Francisco by March 15, my application will not be considered.

First name

Last name

Birthday

Phone

Address

Social Security Number

High School

Currently attending this school

Date of Graduation

SAT I Scores: Verbal

SAT I Scores: Math

ACT Score

GPA Weighted

GPA Unweighted

What are your first two (2) California College/ University Choices?

What, if any, family commitments do you have?

What other scholarships have you applied for?

Please describe your PAID work experience. (Company& location, Hrs per month, and dates worked)

School Activities and Volunteer Experience. (Organization, responsibilities, Hrs per month, dates worked)

Parents income on most recent tax filing

Income filing status

Total income per line 9 of 1040 tax return.

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