Rocky Mountaineers Scholarship Application

Rocky Mountaineers Scholarship Application
Name: _________________________________________________________
Address: _______________________________________________________
E-Mail Address: ________________________________________________
Telephone Number: ____________________________________________
Date of Birth: __________________________________________________
Rocky Mountaineer connection:________________________________
Please provide the following information:
__ High School Student:
Name and location of High School ______________________________________________________
High School GPA (unweighted 4.0 scale) ______________________________________________
ACT score _________________________________________________________________________________
SAT score _________________________________________________________________________________
Anticipated College Major:______________________________________________________________
Graduation Date _________________________________________________________________________
__ Current or Future College Student:
Name of Institution ________________________________________________
Current Major ______________________________________________________
College GPA ________________________________________________________
I certify that all statements contained in this application and in the
accompanying letter are true:
Date: __________
Signature of Applicant: _______________________________
Attach your signed “Personal Letter” and any letters of recommendation.
Applications must be received by April 15, 2015.
Send to:
Rocky Mountaineers
Box 270462
Fort Collins, CO 805627
Or email to:
rmountaineers@gmail.com