Apply for a Scholarship - Mercer Island Schools Foundation

"*" indicates required fields

Applicant's Name*

First Last

Email*

Phone*

Home Address*

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Schools Attended by Applicant*

Mercer Island High School

Crest Learning Center

Islander Middle School

Island Park Elementary

West Mercer Elementary

Lakeridge Elementary

Other (please specify)

Other Schools the Applicant Attended*

Essay Questions

Please answer the following questions in 600 words or less. Note that the Mercer Island Schools Foundation will retain all essays. Applicants give their permission for their story to appear in future promotional and marketing materials.

Explain how a FOUNDATION-FUNDED PROGRAM helped you overcome a challenge or inspired you for your future.*

What college, university, trade or technical school and courses of study are you planning to pursue, and why?*

Please list any participation in extracurricular school activities. Indicate if you held an office or position of leadership.*

Please list two Foundation-funded programs that have impacted you during your school career.*

Program

School

Teacher Name

A complete list of funding is available in the Mercer Island High School Counseling office or the Mercer Island Schools Foundation office for your reference.

Please list up to two of your favorite Mercer Island School District teachers, along with the school you attended where they taught and any Foundation-funded project they led.*

Teacher Name

School

Project

Please name the one teacher you would like us to contact for a recommendation.*

First Last

What are your plans for financing your education?*

% Family Support

% Student Loans

% Financial Aid

% Savings

% Scholarships

% Other

List in percentages; must add up to 100 percent.

Statement of Facts*

I believe the facts stated in this Mercer Island Schools Foundation Scholarship application are true, and formally submit it as my application.

Applicant Signature*

Applicant Parent/Guardian Signature*

Name

This field is for validation purposes and should be left unchanged.