Student Scholarship Application - Resident Interactive
Student Scholarship Application - Resident Interactive
Student Scholarship Application - Resident Interactive
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Graduating High School <strong>Student</strong><br />
<strong>Scholarship</strong> <strong>Application</strong><br />
GENERAL SCHOLARSHIP INFORMATION<br />
Port Ludlow Digital Life (DigitalLife) offers scholarships for Jefferson County Washington High School<br />
seniors planning to enroll in a college or university in the next semester or quarter and pursue a Degree<br />
in Technology:<br />
Computer Science<br />
Computer Technology<br />
Information Systems Engineering<br />
Information Technology<br />
Mathematics<br />
Telecommunications<br />
Selection of scholarship recipients is highly competitive. Meeting the minimum requirements does not<br />
guarantee a scholarship. <strong>Student</strong>s who apply in an undeclared major status are not eligible for<br />
consideration of this scholarship<br />
High School Technology <strong>Scholarship</strong>s are awarded to first time college freshmen for one year and may<br />
be renewable for a second year based on performance and availability. These scholarships cover tuition<br />
and fees only.<br />
To qualify for a Port Ludlow Digital Life Technology <strong>Scholarship</strong>, the student must:<br />
<br />
<br />
<br />
<br />
Be a graduating Jefferson County high school student.<br />
Have a minimum 3.0 GPA<br />
Be Jefferson County resident and U.S. citizen (or resident aliens)<br />
Submit complete DigitalLife <strong>Scholarship</strong> <strong>Application</strong> including:<br />
o Completed <strong>Application</strong> Form<br />
o Transcript reflecting grades from 9th grade through the first semester of 12th grade<br />
o 250-350 Word Essay - "What has influenced your decision to pursue a career in<br />
computer science and technology"<br />
Port Ludlow Digital Life<br />
120 Spinnaker Pl - Port Ludlow, WA 98365<br />
www.pldigitallife.com
Graduating High School <strong>Student</strong> <strong>Application</strong><br />
I. PERSONAL DATA<br />
1. Name (Last – First - Middle): ____________________________________________________<br />
SSN:<br />
_______________________<br />
2. Street Address: _____________________________________________________________<br />
City – State – Zip:<br />
______________________________________________________<br />
3. Date of Birth: ______________ Home Phone: _____________<br />
Cell Phone: ______________<br />
E-Mail: _______________________________<br />
4. Are you a citizen of the United States _____ Yes _____ No<br />
5. Gender (Optional):<br />
_____ Female _____ Male<br />
6. Race (Optional):<br />
_____ African American _____ Hispanic _____ Native American ______ White _____ Other<br />
7. Major/Program of Study ____________________________________________<br />
8. Are you presently employed ___ Yes ___ No<br />
If so, number of hours per week ______ Employer: ______________________<br />
9. Have you included an essay or resume ____ Yes ____No<br />
Port Ludlow Digital Life<br />
120 Spinnaker Pl - Port Ludlow, WA 98365<br />
www.pldigitallife.com
Graduating High School <strong>Student</strong> <strong>Application</strong><br />
II. HIGH SCHOOL INFORMATION (MUST BE COMPLETED BY SCHOOL<br />
COUNSELOR ONLY)<br />
High School Attended: __________________________________________<br />
Anticipated Graduation Date: _________________<br />
Grade Point Average _________<br />
o Grade Point Average on the 4.0 scale, computed on core subjects of English, Math, Social<br />
Studies, Science and Foreign Languages<br />
Type of Diploma (Please check one):<br />
_____ Jefferson County High School Diploma<br />
_____ Jefferson County Alternative High School Diploma<br />
_____ Certificate of Graduation<br />
_____________________________________________________ _____________<br />
Counselor Signature<br />
Date<br />
_____________________________________ _________________________________<br />
Telephone Number<br />
Email Address<br />
III. STUDENT INFORMATION:<br />
High School Activities, community activities, volunteer work, honors, and offices held.<br />
(Attach additional sheet if necessary):<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
___________________________________________________________________________________<br />
I grant permission to release information from my educational records to the Port Ludlow Computer<br />
Club (DigitalLife) <strong>Scholarship</strong> Committee.<br />
________________________________________________________________ ____________<br />
<strong>Student</strong> Signature<br />
Date<br />
Port Ludlow Digital Life<br />
120 Spinnaker Pl - Port Ludlow, WA 98365<br />
www.pldigitallife.com
IV. 250-350 WORD ESSAY<br />
What has influenced your decision to pursue a career in computer science and technology<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
________________________________________________________________________________<br />
Port Ludlow Digital Life<br />
120 Spinnaker Pl - Port Ludlow, WA 98365<br />
www.pldigitallife.com