Legacy Scholarship Application – Fairmont Heights High School Alumni Association, Inc.

LEGACY SCHOLARSHIP APPLICATION

STUDENT’S NAME

DOB

HOME ADDRESS

City

State

STUDENT’S E-MAIL

PARENT/GUARDIAN’S NAME

STUDENT'S CELL #

PARENT'S CELL#

FHHS EDUCATION INFORMATION

CUMULATIVE GPA

COLLEGE/UNIVERISTY NAME

COLLEGE/UNIVERSITY ADDRESS

College/University State

EXPECTED DATE OF ENROLLMENT

MAJOR

LIST EXTRA-CURRICULAR ACTIVITIES

COMMUNITY SERVICE HOURS & ACTIVITIES COMPLETED

GUIDANCE COUNSELOR

GUIDANCE COUNSELOR’S E-MAIL

REFERENCES/RECOMMENDATIONS

STUDENT'S SIGNATURE

PARENT'S SIGNATURE

Link to your scholarship video

Paste a YouTube, Google Drive, or other link.