Thirty-Second District PTA Graduating High School Senior Scholarship Application 2016
Thirty-Second District PTA serves the youth and families of Contra Costa County. Annually, up to four $500 scholarships are awarded to graduating seniors.
A successful applicant must:
• Be a senior in good standing with a minimum G.P.A. of 2.0. (DO NOT send transcripts.)
• Be an enrolled student and member of the high school PTA/PTSA .

Applications must be postmarked on January 18, 2016, submitted online or emailed by 11:59 p.m., January 18, 2016.
Selected scholarship recipients will be notified in late February. Scholarships will be presented at the Founders Day Dinner in early March 2016.

Direct questions to scholarship@32ndpta.org 
Mail applications: c/o Linda Mayo, 150 Grove Circle, Pleasant Hill, CA 94523-4003
Email applications: scholarship@32ndpta.org
Use of this electronic application does not require duplicate USPS mail or email of the application.
Applications must be postmarked on January 18, 2016, submitted online or emailed by 11:59 p.m., January 18, 2016.
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First Name *
Last Name *
Street Address *
City, CA ZIP *
Best Telephone *
Email address *
Repeat email address *
Permission granted *
To publish my name, resident city with school name in a press release.
Are you graduating June 2016? *
High School Name *
HS Street Address *
HS City, CA Zip *
As the applicant, I attest this information as submitted is accurate. *
Confirmation of applicant status
___Your school principal, registrar or counselor will be contacted by email to verify your 2.0 GPA or higher and status as a student "in good standing."
___Your PTA president or treasurer will be contacted by email to verify your membership in your PTA/PTSA. MAKE SURE YOU ARE A MEMBER BEFORE YOU SUBMIT THIS APPLICATION.
School status *
I affirm I have a 2.0 GPA or higher and am a student "in good standing."
PTA/PTSA membership *
I affirm that I am a current member (2015-2016) of my high school's PTA/PTSA.
Activities, Aspirations, Personal Statement
Enter responses for the following items. You may copy and paste responses into the fields. Save the survey link, so that you can return and edit the document until 11:59 p.m. January 18, 2016. Application closes at 11:59 p.m. January 18, 2016.
2. List your “in school” and/or “community” extra-curricular activities, including any volunteer service. *
Limit: 200 words (1280 characters including spaces).
3. Describe your current post high school interests or career plans. *
Limit: 200 words (1280 characters including spaces).
4. Select the one category that best describes you: *
Personal Statement *
Write a personal statement based on the category you selected above. Limit 500 words (3200 characters and spaces).
Submit
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