Riverview Scholarship Application



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Riverview Scholarship Application


Please answer each of the following questions completely and to the best of your abilities. If you are not entirely truthful, Riverview will have no way of evaluating your qualifications. Any intentional falsification or misrepresentation of information is grounds for denial of the Scholarship. Applications will be accepted in both handwritten and computer-processed forms. Applications are due March 11, 2016 and should be mailed to: Riverview, Attn: Kevin Wulf, 26406 470th Avenue, Morris, MN 56267.
Name: __________________________________ ___________________ Gender: M F

Last First

Address: ______________________________________ ________________ ________ _________

Address City State Zip

Phone: (______) _______-___________ Cell Phone: (______) _______-___________
Email Address: ______________________________________________________________________
Name of School: __________________ Current GPA: _________ ACT Score: _________

List the names of the colleges where you have applied



  1. ________________________________________________ 3. ______________________________________________

  2. ________________________________________________ 4. ______________________________________________

List the names of the colleges to which you have already been accepted

  1. ________________________________________________ 3. ______________________________________________

  2. ________________________________________________ 4. ______________________________________________

List the top three majors you plan to pursue in college and why

  1. _______________________________________________________________________________________________________

  2. _______________________________________________________________________________________________________

  3. _______________________________________________________________________________________________________

List any extracurricular high school activities in which you have been involved

______________________________ __________________________________ _________________________________

______________________________ __________________________________ _________________________________

______________________________ __________________________________ _________________________________

List any awards you have received while in high school

_________________________________________________ ______________________________________________________

_________________________________________________ ______________________________________________________

_________________________________________________ ______________________________________________________

_________________________________________________ ______________________________________________________

_________________________________________________ ______________________________________________________



_________________________________________________ ______________________________________________________

Work History


List all jobs you have held in the last three years, including full- and part-time employment. Start with your most recent job first and then work back.


  1. Company Name and Address: ___________________________________________________________________________

Dates: ________________ Pay: ______________ Reason for leaving: ____________________________________________


  1. Company Name and Address: ___________________________________________________________________________

Dates: ________________ Pay: ______________ Reason for leaving: ____________________________________________


  1. Company Name and Address: ___________________________________________________________________________

Dates: ________________ Pay: ______________ Reason for leaving: ____________________________________________

Essay


Please type and attach a short (250-300 words), detailed essay about the following: What is character and how has it shaped your life?
SIGNATURE: _________________________________________________ DATE: _________________________


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