Scholarship Application

In memory of Chance Cosgrove, this scholarship is made available to outstanding individuals that are committed to enhancing the quality of our community through service, and exhibit characteristics of a compassionate and caring individual, dedicated to the betterment of the lives of others.

Please fill out the form below to apply for the scholarship.

Please note: This scholarship is available only to current graduating Seniors from Pearl River High School for 2020.

Scholarship Registration Form

Part I - About You
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Birthdate*
MM slash DD slash YYYY
High School*
This field is hidden when viewing the form
High School
Current GPA
Part II: Your Experiences
Extracurricular Activities / Volunteer Work
Please list any extra-curricular activities or volunteer work with which you are involved and the number of hours per week or per month that you work with these groups. Be sure to include any leadership positions held and honors received through these organizations:
Which of the aforementioned activities do you find most fulfilling and why?
Please list any additional academic or other awards/honors you have received:*
Work Experience: Please list any paid jobs you have held during high school:*

Name of Employer | Hours per Week | Nature of Work | What You Enjoyed Most About it
Part III: Q&A
Please answer two of the following questions using 500 words or less:*
1) Describe an issue or cause within your local community with which you are involved and why it is important to you. 2) If you could have dinner with any individual that would assist you in accomplishing a goal for your community, who would you have dinner with and what would you ask of them? 3) Describe a situation or event that has had a significant impact on your life and discuss that impact. 4) What type of influence do you hope to have on your college community over the next four years? 5) If you could eliminate one thing from society in order to enhance its quality, what would it be and why?
Section Break
Part IV: References
Please also attach 2 letters of reference: one from a teacher that has worked with you in the classroom, and one from a club advisor, athletic coach, clergy, or guidance counselor.

Deadline for submission is May 15, 2020.
File
Max. file size: 250 MB.
File
Max. file size: 250 MB.

Additional menu

Scholarship Registration Form

Part I - About You

Part II: Your Experiences

Part III: Q&A

Section Break

Part IV: References