Application For Robert L. and Virginia Gaffney Family Scholarship 

Fill Out The Application and Submit By March 31.

Copy and Paste the Below Application Into A New Word Document. Then print your application and mail to the address below. 


Robert L. and Virginia Gaffney Family Scholarship Application:

Name:___________________________________
Address:_________________________________
City:____________________,State:_____, Zip:_________

Phone Contact:____ _______ _________
Email Contact:__________________@___________.

Parental Name: ____________________________

GPA for Years 9-10-11? ______________.


List Activities in your community that you have participated in: 





List any honors or special recognition that you have receive from your school or community in the past 3 years: 




What Colleges have you applied to:



What College do you plan on attending?




Have you been accepted at this time? __Yes, __ Not yet.



Please answer these 3 Questions On a Separate 8 1/2 x 11 
typewritten page ( One page for all 3 questions):


1. Why do You want to go to College?





2. How do you see yourself making a difference in your community after College?





3. Describe in one paragraph how you would like your Ephitate to read:

 

4. Please enclose a certified transcript of your grades with your application.





Requirements for the $1000 Scholarship: 

1. You should be a high school graduating senior who would be the first member of their immediate family to earn a degree from an accredited four-year college. (See the cover page or School Counselor if you have any questions).

2. You must have applied to or been accepted by an accredited 4 year College or University.

3. Applications must be received by
March 31.

4. For more information contact: www.RobertGaffneyScholarship.com   or contact your Guidance Counselor.


All scholarship applications should be submitted no later than March 31st of the year you wish to be considered. The final decision will be made by a majority decision of the selection committee and is based on a number of factors-- not just academic achievement. Other considerations may include community service, character, need, and overcoming difficult or challenging life circumstances.

The Committee may reserve the right to withhold the award if they deem no qualified applications are submitted.

For additional information or questions please contact or email us at the address below, or contact your local guidance counselor.

Contact Information: 

Ms. Kristi Shanks
Phone: 712-792-8010
Email: kshanks@carrolltigers.org

Mail or Scan Applications to:
CHS School Counselor's Office
Carroll High School,
2809 N. Grant Road, Carroll, IA 51401
Attention: Ms. Kristi Shanks

Please complete and forward your application to the address above.



Remember…Applications must be submitted by
March 31 .


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