All West Communications, Inc.

Full Name:
Date of Birth:	/ /
Names of Parents of Guardians:
Address:
Phone:
Email:
Overall High School GPA:	(send copy of official transcript to All West)
ACT or SAT Score:	(send copy to All West)
College you plan to attend (if known):
Intended Major (if known):

I. List any school activities, organizations and clubs you have been involved in during your high school years.

II. List special honors, recognitions, or awards which you have received in connection with the above activities.

III. List any activities, honors or recognitions which you have received in connection with organizations other than school sponsored. (Such as church, youth groups, 4-H, scouts, etc.)

IV. List any full or part-time employment during your high school years.

V. What are your personal goals and objectives after leaving high school?

VI. Explain your financial needs and why this scholarship will benefit furthering your education. (If desired, send a copy of parents 1040 tax form to All West)

VII. In less than 300 words, explain how a specific technology has improved your education.