NAME:  (Last)_______________________ (First)_____________ (Middle)______

ADDRESS:  _______________________________________________________________

PHONE: _______________________ 

E-MAIL:  _______________________

DATE OF BIRTH:  _______________________________________

GPA:  ____________         SAT score:  ___________     ACT score:  ____________

PROSPECTIVE INSTITUTIONS:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

DOCUMENTS TO BE INCLUDED:

*Applicant's one-page essay

*Applicant's photo

*Letters of Recommendation:  ONE from school staff (teacher, counselor, teacher's aide or administrative personnel) and ONE from activity sponsor, fellow student or community leader

*A statement of financial need (to be considered, but not decisive)

RETURN your completed application including all documents to the Counseling Office by Tuesday, April 16, 2019.  Interviews will be conducted during the week of April 22.