Meridian Public School Foundation » Application » Meridian Public School Foundation Scholarship Application » 1-2, 3, 4, 5, 6

STUDENT RETURN THIS FORM TO THE COUNSELOR BY MONDAY, APRIL 28TH ALONG WITH A COMPLETED “STUDENT INFORMATION” FORM.

HIGH SCHOOL COUNSELOR PLEASE COMPLETE THE REMAINING PAGE:

PLEASE TYPE IF POSSIBLE

High School:       Meridian High School                     City:     Bellingham                

County:           Whatcom                 State:       Washington            

Name of student: ____________________________________________________________

PSAT Score: _____   ACT Score: _____   SAT Score: _____   Class Rank: _____   Out of:   108     GPA: _____  

Rate the student’s level of involvement in high school:
 
High
 
Moderate
 
Low
 
Not Involved
 
Unknown

Rate the student’s leadership ability:
 
Excellent
 
Good
 
Fair
 
Poor
 
Unknown

Rate the student’s character:
 
Excellent
 
Good
 
Fair
 
Poor
 
Unknown

Rate the student's potential for making a positive contribution to society:
 
Excellent
 
Good
 
Fair
 
Poor
 
Unknown

Please note any additional information about this student that would be helpful in evaluating him/her for a scholarship:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Signature of person completing this page:                                                        

Position:           School Counselor