Junior League of Greater Springfield
Scholarship Application

League Use Only

Code: 	

PART 1:  Applicant Information
Please enclose this sheet as the cover sheet for your application. Name:

Home Address: City, State, Zip
Phone:	(	) E-mail Address:
Year of Birth:

High School Name: High School Address:
High School Phone:	(	) Graduation Date: (Month/Year)
Guidance Counselor’s Name: Guidance Counselor’s E-mail:
Volunteer Organization and
Address
Volunteer Supervisor’s Name:

Volunteer Supervisor’s Email and
Phone:	(	)

                                         Junior League of Greater Springfield
Scholarship Application

PART 2:  Scholarship Questionnaire (To be completed by applicant)

PART 3:  Essay (One page only)

Please describe and discuss your volunteer experience. How has your experience benefited you and your community? If applicable, explain how your volunteer experience has contributed to the formation of your career plans.

PART 4:  Required Recommendations

A)  JLGS form completed by your high school guidance counselor. B)  JLGS form completed by your volunteer supervisor.
Forms should be submitted with this application or mailed under separate cover to:

Junior League of Greater Springfield 
c/o Elizabeth Kouflie
12 Briar Spring Lane
South Hadley, MA 01075

Please send all materials paper-clipped, not stapled.

Application and all supporting materials must be postmarked by Saturday, April 30, 2016.