Scholarship Application

SEcond story scholarship fund application

Available to high school students (including GED students) of the 2023 graduating class who live in Bureau County, IL and regularly attend Second Story Teen Center. The annual scholarship will be awarded to two students in the amount up to $1,500.
Submission Deadline: April 30, 2023.

contact information:

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Student Phone Number *

Parent/ Guardian Phone Number *

current education:

Are you a Second Story attendee, graduating this year? *

Yes No

after-school activities:

List specific school activities, clubs, and/or volunteer work you have done (if any): *

List past/ current employment (if any): *

List classes taken and/ or related to your current/ past work experiences or to your future career path: *

post-secondary plans:

College or University Planning to Attend: *

Major Area of Study Planned: *

Trade School Planning to Attend: *

Trade Area of Study Planned: *

What career would you like to have and why? *

Do you (or will you) work during your post-secondary school year to support your education? If so, where will you work and for how many hours per week? *

What is your estimated ANNUAL cost of your post-secondary education? (Include tuition, book/ material fees, etc.) *

scholarships:

Have you received other scholarships or tuition waivers? *

Yes No

If you answered yes to the above, please list the name of the scholarship(s), amount, and timeframe (one-time, yearly, multi-year) that you will receive them: *

Essay question:

Please choose from ONE of the three questions below to answer in 1-3 paragraphs.
Question (option 1): Who is your hero/ who inspires you and why?
Question (option 2): What makes you unique?
Question (option 3): What do you think you could do or are doing to contribute to your community and make it a better place for all?

Write your response to ONE of the above questions in the box below: *

Is there anything else you would like to tell us that we should take into consideration when reviewing your application? *

By entering your name in the box below, you understand and agree to having completed this application fully, correctly, and to the best of your knowledge:

If you agree with the statement above, enter first and last name in the boxes below: *

First

Last

Any questions or concerns, please call or text Dana VanAutreve at (815) 303- 9473.

Submit