Big Island Press Club Scholarship Application

Name of Applicant:

_______________________________________________________________________

Address/phone/e-mail where you may be reached this summer:

_______________________________________________________________________

Birthplace: ___________________________ Date of Birth: __________________

High School: _______________________________ Year of Graduation:________

College you will attend this fall: ______________________________________________

Have you declared a major/minor area of study? ________________________________

If so, please indicate them: _________________________________________________

Career plans: ____________________________________________________________

 ______________________________________________________________________

Names, address(es) and occupations of parents/guardians:

_______________________________________________________________________

_______________________________________________________________________

List three current references who are not relatives but who are aware of your plans for a career in communications:

Name: __________________________________ Position: ___________________

Address: _________________________________ Phone/e-mail: ______________

Name: __________________________________ Position: ___________________

Address: _________________________________ Phone/e-mail: ______________

Name: __________________________________ Position: ___________________

Address: _________________________________ Phone/e-mail: ______________
 

I hereby declare that to the best of my knowledge the answers I have given on this application are complete and correct.

Signed: _________________________________________    Date: ____________

Applications must be received by June 11. It is the applicant’s responsibility to ensure that all materials, including transcripts, are available to the Big Island Press Club by this date. For full application requirements, see the attached checklist. Mail completed application to:

Scholarship Committee, Big Island Press Club, P.O. Box 1920, Hilo HI 96721