2012 SCHOLARSHIP GRANT APPLICATION
CANTON LINCOLN HIGH SCHOOL ALUMNI ASSOCIATION
(Please print or type. Use a separate sheet of paper where necessary or as indicated.)
All required information MUST BE MAILED and postmarked by the DEADLINE of March 15, 2012.

Full Name: ___________________________________ Permanent Phone: ____________________________

Permanent Address: _________________________________________________________________________

_______________________________________________________________________________________

List your lineal ancestor(s) who attended Canton Lincoln Junior or Senior High School, the years they attended, and your relationship to them. (PLEASE NOTE: At least one of the ancestors you list must be a paid member for the current year and must have their membership ($10) postmarked no later than the scholarship application  deadline (March 15th) before your application will be considered. If your ONLY lineal Lincoln ancestor is deceased, please note; the paid membership requirement is waived.)

Relationship: Ancestor's Name: (Include Maiden Name If Applicable Years Attended:

Self ______            ____________________________________________        19 __    -19__

Mother ______     ____________________________________________        19 __    -19__

Father ______      ____________________________________________        19 __    -19__

Grandmother ______    _______________________________________           19 __    -19__

Grandfather ______         _____________________________________             19 __    -19__

Name the high school you currently attend, most recently attended, or from which you graduated:

School:__________________________________________________________

Location:________________________________________________________

High school graduation date: ________________________________________

Date G.E.D. received :_________________________( If you received a G.E.D., please provide a photocopy of it.)

Name of the accredited school you plan to attend:

School: _____________________________________________________________________________

School's Address: _____________________________________________________________________

Have you been accepted at that school? ______________ Beginning Date: ____________________

Have you ever received a scholarship from CLHSAA?__________ Year:______________
(NOTE:  If you are fortunate to receive a full scholarship from another source, please decline our scholarship and notify us ASAP so that we may help as many other students as possible.)

Along with this fully completed application form, you MUST include: (1) a one page essay (on a separate sheet of paper) telling why you selected your field of study and how you plan to use your educational experience before and after completion of your current education program; (2) on another separate sheet of paper, list: (a) your extra-curricular school activities, (b) your residential and/or school community involvement, and (c) any awards, honors, or recognition you have received, (d) how you spent the last two summers; (3) three (3) current letters of recommendation; AND (4) high school applicants --submit an OFFICIAL copy of your high school transcript, including your ACT or SAT scores; college applicants ---submit an OFFICIAL, cumulative  copy of your advanced education transcript from your school's registrar's office.   (Computer printouts are NOT official transcripts.)   Note: If scores are not available due to the age of the applicant, life experiences may be substituted.

Incomplete or late applications and materials CANNOT be considered.  Applications MUST BE MAILED.
 All materials MUST be postmarked no later than March 15, 2012.  Mail all requested information to:

Canton Lincoln High School Alumni Association Scholarship Committee

2285 Fallen Oak Circle, N.E., Massillon, OH 44646

Scholarships will be awarded at the Awards Reception in July