Please provide the following information on a separate sheet of paper, all information should be typed.


  1. Name, mailing address, phone number and email address.
  2. Current GPA.
  3. What college do you plan to attend?  Have you been accepted?
  4. What is your planned field of study?
  5. Please list the community service activities you have participated in during high school.  Include name(s) of the organizations(s), dates of involvement, a contact person with phone number and a brief description of your activities.  Be sure your contact person is aware, we may call him or her.
  6. Why do you feel it is important to volunteer your time in community service activities?
  7. What is the greatest benefit you have received from your community service involvement?


Please also submit a written recommendation from an advisor or other person familiar with your efforts at one of the community organizations with which you have volunteered.  The recommendation can be less than one-page long.  Please have them include their contact info.


Application is to be turned in by April 15, 2017.  There are no exceptions.


2017 LYME-OLD LYME JUNIOR WOMEN'S CLUB SCHOLARSHIP APPLICATION

Application deadline: April 15, 2017