New Haven Middlesex Association of REALTORS 127 Washington Avenue North Haven, CT Phone: (203) FAX: (203) Website:

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New Haven Middlesex Association of REALTORS 127 Washington Avenue North Haven, CT 06473 Phone: (203) 234-7700 FAX: (203) 234-3980 Website: www.nhmrealtors.com

APPLICATION INSTRUCTIONS 1. All Applicants: Please fill out the attached Application for Scholarship in its entirety and submit it to the New Haven Middlesex Association of REALTORS, Inc. no later than May 13, 2016. The applicant must be a high school senior AND a child/stepchild, grandchild, great grandchild of a REALTOR Member who has held a license and been a member of the New Haven Middlesex Association of REALTORS for a period of at least one year as of June 1, 2015, or Association Staff s child or grandchild to be eligible for a scholarship under the provisions of the New Haven Middlesex Association of REALTORS, Inc. 2. All Applicants: Submit the enclosed transcript request to your school s record office in order to have a transcript sent to the New Haven Middlesex Association of REALTORS, Inc., no later than May 13, 2016. 3. All Applicants: Along with your completed application, please submit an essay (as outlined in the attached Essay Guidelines sheet) not later than May 13, 2016. 4. Application must include 2 letters of reference. APPLICATION DEADLINE IS MAY 13, 2016. In order to ensure that your application will meet the deadline, it is recommended that you have all of the required items forwarded to you (if permitted) and that you attach them to your completed application and forward the entire package to the New Haven Middlesex Association of REALTORS, Inc. If not permitted, High School records may be sent separately. Incomplete applications will not be considered. The New Haven Middlesex Association of REALTORS will not be held responsible for lost, late or misdirected correspondence. Any official correspondence should be addressed to: New Haven Middlesex Association of REALTORS, Inc. 127 Washington Avenue North Haven, CT 06473 PHONE: (203) 234-7700 FAX: (203) 234-3980

New Haven Middlesex Association of REALTORS, Inc. Scholarship Application Please follow the attached instructions. Applications must be received by May 13, 2016. PLEASE PRINT OR TYPE ALL INFORMATION. NAME (Last) (First) (Middle) HOME ADDRESS (# & Street) City Zip PHONE FATHER S NAME HOME ADDRESS (If different from your address) OCCUPATION NAME OF EMPLOYER MOTHER S NAME HOME ADDRESS (If different from your address) OCCUPATION NAME OF EMPLOYER HIGH SCHOOL ADDRESS E-MAIL ADDRESS DATE OF GRADUATION Please list any scholastic honors you have won, including dates: Please describe the extracurricular activities (and any offices held) in which you have participated:

TO BE COMPLETED BY APPLICANTS CURRENTLY IN THEIR SENIOR YEAR OF HIGH SCHOOL To what schools are you applying? Please list in order of preference and indicate whether or not you have been notified of your acceptance. 1. 2. 3. Name of School City/State Accepted? Please indicate the course/program you intend to pursue and outline your anticipated career goals: I certify that, to the best of my knowledge, all statements in this application are correct. In addition, I understand that my answers to the above questions will be used solely by the Scholarship Committee for consideration of this application. If selected as a scholarship recipient, I also understand it is my responsibility to provide proof of enrollment in order to receive a scholarship. Applicant s Signature Date I believe that the applicant, my child/stepchild, grandchild, great grandchild, Association Staff s child or grandchild is eligible for a scholarship under the provisions of the New Haven Middlesex Association of REALTORS, Inc. Specifically, I have been licensed as a REALTOR and a member of the New Haven Middlesex Association of REALTORS for a period of at least one year as of June 1, 2015. Parent s Signature Date

New Haven Middlesex Association of REALTORS, Inc. 127 Washington Avenue North Haven, CT 06473 Scholarship Application Transcript Request Form Applicant s Name (Please Print) Applicant s Signature Applicant s Address SCHOOL RECORDS OFFICE: The above named individual is applying for a New Haven Middlesex Association of REALTORS Scholarship. In order to process his/her application, we need to have an official copy of his/her complete transcript. We also need the results of any test (i.e. SAT/LSAT/GMAT/GRE) which the candidate has taken. The information is to be held in confidence and we thank you for your assistance. SCHOLARSHIP APPLICATION DEADLINE IS MAY 13, 2016

ESSAY GUIDELINES All Scholastic Achievement category applicants must submit an essay to be eligible for a scholarship. There is no specific topic for the essay. Rather, the Committee is interested in finding out more about you. For example, what you feel you have accomplished, what your goals are, what jobs or volunteer work you have done or any civic activity/community involvement you might be proud of. What the Committee is looking for is information that speaks not only to your scholastic Achievements, but what you have done or would like to do in addition to your academic accomplishments/goals. The only requirements for the essay are as follows: 1. Essay must be typed, double spaced 2. Length: Minimum one page Maximum three pages

SCHOLARSHIP APPLICATION CHECKLIST Incomplete and/or late applications will not be considered. Before submitting your application, make sure you have completed the following: Completely and neatly filled out both pages of the application. The applicant must be a child/stepchild, grandchild, great grandchild of a REALTOR Member who has been licensed as a REALTOR and a member of the New Haven Middlesex Association of REALTORS for a period of at least one year as of June 1, 2015, or Association Staff s child or grandchild to be eligible for a scholarship under the provisions of the New Haven Middlesex Association of REALTORS, Inc. Official transcript is enclosed with the application or is being mailed directly to the New Haven Middlesex Association of REALTORS, Inc. (must be received by May 13, 2016). Two letters of reference are enclosed with the application. Essay is enclosed with application. SCHOLARSHIP APPLICATION DEADLINE IS MAY 13, 2016