Scholarship Application

	Letter to RTS Applicants
	Personal Information
	First Name:
	Middle Name:
	Last Name:
	Permanent Address:
	City:
	State/Province:
	Zip/Postal Code:
	Permanent Phone:
	Cell Phone:
	E-Mail Address:
	Date of Birth:	(mm.dd.yy)
	Academic Information
	List any honors, awards and scholarships:
	Honors Program:	NoYes
	High School:
	Class Rank :	/
	GPA:
	SAT/ACT:
	Major:
	Semester Standing
	Athletic Involvement
	Indicate the type of intramural/recreational, varsity, junior varsity, etc.:
	Leadership Involvement
	List all extracurricular activities and positions held:
	Community Involvement
	List any community service organizations and your involvement:

	Organization	Position	Years

	Work or Internship Experience
	List any work or internship experience:

	Employer	Position	Years