The Murray Community School Scholarship Foundation


Scholarship Application

Submit this form by April 2, 2018


  1. Fill out the form and submit it online.
  2. Do not put your name or other identifying details on any page except this one.
  3. Fill in all information. Incomplete applications will not be considered.
  4. Sign up in Mrs. Page's office to have her complete and submit the Principal Form.
  5. If you have difficulty filling out or submitting this form, contact the Murray School office 447-2517.

Only full time students are eligible for scholarships -- minimum of 12 credit hours.

Applicant Data

            Last name, First name
Name   Phone


City   State   Zip

In submitting this application, I certify that the information provided is correct and accurate to the best of my knowledge.


For Foundation Use Only
ID# Award Amount

Page 2 ID#


Educational Institution you have chosen to attend

Address of institution

Have you received a letter of acceptance?

4 Year College     2 Year College     Vo Tech College     Other

Proposed Major Field of Study

Cost of one year at this school:

Room and Board
(Please list)


Page 3 ID#


School Activities
Activity                Years of Participation                Leadership Position

Honors and Awards

Page 4 ID#

Community Activities
Activity                Years of Participation                Leadership Position

Volunteer Work
Activity                Position or Job                Years of Participation

Work Experience
Position                Employer                Dates Worked                Hrs/Wk

What responsibility will you take in paying for your own college?

Page 5 ID#


Do not put personal identifying information into the essays, such as your name or your parents' names.

1. In a short statement (200 words or less), describe the impact the Murray Community School and community have had on you as an individual.

2. In a short statement (200 words or less), write about an influence in your life that has inspired you, made you the person you are, and has sent you in the direction you are now heading in higher education. This can be an experience, a person, a book, an idea, a success, a disappointment, or anything else you feel has strongly influenced you.