Scholarship Form – Capital Area Chapter Hall of Fame

Capital Area Chapter
of the Pennsylvania Sports Hall of Fame, Inc.Scholarship

Application for Seniors in
Dauphin County, Pennsylvania High Schools

$1,500 Scholarship Award

Click here to print a form for mailing.

If this form is incomplete, inaccurate, illegible, or returned electronically after April 30, 2027, it will not be considered.

Applicant Name(Required)

First Last

Home Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Email(Required)

Sport(s) Participated in High School(Required)

School District(Required)

High School(Required)

GPA(Required)

Class Standing(Required)

Name of Guidance Counselor(Required)

Guidance Counselor Phone Number(Required)

Prospective College/University(Required)

Have you received an acceptance letter?(Required)

Yes

Are you a recipient of an athletic scholarship from this school?(Required)

Yes

College/University(Required)

College/University Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

For consideration of this scholarship, please answer the following questions. Please use additional paper if needed. Attachments are encouraged. Please sign and date any additional paperwork that you provide.

1. What are your goals? Please describe how earning a college degree will help you achieve those goals.(Required)

2. What is the most challenging aspect of attending college for you? What are your plans to overcome that challenge?(Required)

3. Why should you be selected for this scholarship? Please describe your: a) academic achievements, b) community service activities, c) examples of leadership, d) other personal characteristics that make you deserve this scholarship.(Required)

4. Describe an event during your life in which you took a leadership role and what you learned from that experience.(Required)

5. Name a person who graduated from your high school before 2016 that you believe is worthy of being nominated for our Hall of Fame(Required)

Capital Area Chapter of the Pennsylvania Sports Hall of Fame, Inc.Scholarship Application for Seniors inDauphin County, Pennsylvania High Schools

If this form is incomplete, inaccurate, illegible, or returned electronically after April 30, 2027, it will not be considered.

For consideration of this scholarship, please answer the following questions. Please use additional paper if needed. Attachments are encouraged. Please sign and date any additional paperwork that you provide.

Capital Area Chapter
of the Pennsylvania Sports Hall of Fame, Inc.Scholarship

Application for Seniors in
Dauphin County, Pennsylvania High Schools