WATER MILL COMMUNITY CLUB
EDUCATIONAL SCHOLARSHIP FOR CLUB SERVICE
APPLICATION FORM
THIS APPLICATION IS DUE APRIL 15TH
Eligibility Criteria for the Applicant:
- Personal service to the Water Mill Community Club during your high school years.
- Membership of the applicant’s family in the WMCC for at least 36 consecutive months prior to April 15th.
- Character (demonstrated by honesty and participation in WMCC and community activities).
- Citizenship (demonstrated by participation in school and community activities).
- Achievement (demonstrated by effort to succeed).
Regulations for Granting the Award
Each scholarship shall be an award payable directly to the institution the recipient attends.
- Name:_____________________________________________________________
- Address:___________________________________________________________
- Telephone:_______________________________________Age:______________
- Parent/Guardian Name:_______________________________________________
- How long has your family held membership in the WMCC?__________________
- List the help you have provided WMCC during your high school years.
(Note: Attendance only at WMCC events is NOT considered service to the club.)
SERVICE YEAR(S)
Example: WMCC Spring Clean-up 2007, 2008
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7. List other Community Service Activities:
(Example: Polar Bear Plunge, Food Pantry, Great East End Clean-up…
___________________________________________________________
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8. List committees your parents/guardians have served on for the WMCC.
___________________________________________________________
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9. Educational institution you hope to attend:_______________________________________________________
What do you plan to study?____________________________________________________________
Why? _____________________________________________________________
What have you done during high school to help yourself financially?
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On what date will you begin your studies?____________________________________________________________
Enclose with this application, on a separate sheet, a statement explaining why you should be considered for the WMCC Scholarship.
NOTE: APPLICATIONS LACKING THIS STATEMENT
WILL NOT BE CONSIDERED BY THE SCHOLARSHIP COMMITTEE
I affirm that all of the above information provided on this application is true to the best of my knowledge. I understand that any misrepresentations will forfeit my eligibility.
Signature _______________________________________________
Date _______________________________________________________
Reminder: The Scholarship Committee should receive this Application on or before April 15th.
Scholarship Applications are also available at the Southampton High School Counseling (Guidance) Office.
MAIL TO: Water Mill Community Club
Scholarship Committee
PO Box 182
Water Mill, NY 11976