Success Beyond the Classroom

Scholarship Application/Criteria

Student Name________________________________________________

School_______________________Sport__________________________

Parent/Guardian’s Name_______________________________________

Street Address_______________________________________________

City, State, Zip_______________________________________________

Phone____________________________ Cell______________________

Father/Guardian Employer_____________________________________
Circle One: Full Time / Part Time

Mother/Guardian Employer_____________________________________
Circle One: Full Time / Part Time

List SWCS activities (grades 7 to 12) in which you participated in during the past
twelve years

______________________________________________________________________

______________________________________________________________________

How does your participation in sports help you to grow as a student? (attach
additional sheet, if necessary)

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Tell us why you deserve a Beyond the Classroom Scholarship? (attach additional
sheet, if necessary)

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________
 Scholarship Criteria

Do you qualify for: Free Lunch Reduced Lunch

(circle one)
No assistance

Family Size (including parents and guardians)______________________________

During the last school year, how many students in your family participated in
SWCS school activities (7th-12th grade)_______

Please explain any special circumstances that might affect your eligibility for a
Beyond the Classroom Scholarship (include circumstances such as family illness,
extraordinary medical expense, job loss, disability, etc.)

Please provide as much information as possible to help us make an informed

decision.

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Student Signature_______________________________Date_____________

Parent Signature________________________________Date_____________