VAPLD

Applicant Information
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Email Address *
Date of Birth * MM / DD / YYYY
Education Information
High School Currently Attending *
Current Cumulative GPA *
Higher education institution to which you have been accepted *
Area of Study (Major) *
Personal Information
Have you been employed or volunteered at the Vernon Area Public Library? *
YES NO
If yes, please give the dates and an explanation of your experience.
Maximum Allowed: 1000 words. Currently Used: 0 words.
List your extracurricular activities, professional work experiences, volunteer work, awards and honors. *
Maximum Allowed: 1000 words. Currently Used: 0 words.
Essay 1 (500-1,000 words) – What is your personal experience with the library and how has it impacted your life and educational goals? *
Maximum Allowed: 1000 words. Currently Used: 0 words.
Essay 2 (Max 500 words) – Explain why this scholarship will benefit you. *
Maximum Allowed: 500 words. Currently Used: 0 words.
Certification
I certify that the information provided on this application and all supplemental forms is complete and correct to the best of my knowledge. I further certify that if I am chosen as a scholarship recipient, I will use those funds only for expenses related to my education in an institution of higher learning. *
YES NO
Important Note

This application is not complete until the letter of recommendation, letter of acceptance and high school transcript are received. Please email your letter of reference, letter of acceptance and high school transcript to friends@vapld.info.
Do Not Fill This Out

VAPLD

Applicant Information

Education Information

Personal Information

Important Note