FRANK M. McHALE SCHOLARSHIP

1.             The application should be typewritten or neatly written in ink and turned into your City

                Counselor by 7:00 p.m. Tuesday, June 12, 2007.

2.             The Frank M. McHale Scholarship may be used at any college, university, technical

                school, business school, or other accredited institutions of higher education.

3.             Use the following as a checklist in completing the application:

                                 1.  I have filled out the "Scholarship Application".

                                 2.  I have completed the "General Questionnaire" on the back of this page.

                                 3.  I can arrange for three people (not relatives) to write letters of recommendation as to my general entitlement to a scholarship award if recommended for the        

                                 4.  I can make arrangements for school officials to supply a transcript of my grades if requested.

1.  Applicant's Name                                                                                             S.S.#                    -               -                              

2.  Address                                                                                                                                                                                           

3.  Date of Birth                                                      Age                         Telephone #                                                                     

4.  Name of Parents/Guardian                                                                                                                                                         

5.  Occupation of Parents/Guardian                                                                                                                                              

6.  Parent/Guardian Work Address                                                                                                                                                 

7.  Number of Children/Other Adults Dependent upon Parents/Guardian                                                                             

8.  How many Brothers/Sisters in: College? ______  High School? ______  Grade School? ______

9.  High School Attended (9th through 12th grade):

                Name of School                                  Date Entered                        Period Attended                   Grade Average

10.  List of significant school activities including offices held:

11.  State your plans for enrollment in college or any type of higher learning:

12.  The three people I can request to write letters of recommendation are:

Name                                                     Address                                                 Occupation

HBS-16 (1)                                                            Signed:                                                   Date:                                    

                                                                HBS County:                                                          City:                                                      
GENERAL QUESTIONNAIRE

DIRECTIONS:  Please complete the following statements in the spaces provided.

                I want to attend                                                                                                                      because:

                What has influenced you the most in making a decision to seek a higher education?

                I think higher education is significant because:

                Receiving a scholarship would be valuable to me because:

                Describe any unusual circumstances which ought to be known in considering your

                application (such as sickness in the family, etc.):

HBS-16 (2)

Revised 2005