Name of Applicant:
Address of Applicant:
Cell Phone:
Email Address:
Date Of Birth:
Cumulative Grade Point Average (GPA) (On a 4.0 scale) :
Name & Location Of High School::
List any academic honors, awards and membership activities while in high school:
List your hobbies, outside interests, extracurricular activities and school related volunteer activities:
List your non-school sponsored volunteer activities in the community:
List your Employment:
If you have decided on the college you will attend, please list the school name:
If not, list your top three (3) college choices:
Anticipated field of study:
Name & address of parent(s) or legal guardian(s):
Address of parent(s) or legal guardian(s) if different than your own.
Cell phone of parents or legal guardians:
Please write an essay (250 - 500 words) addressing the following: Describe how your interest in your chosen field of study developed and how you envision applying your degree after graduation:


By submitting this form I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent, that if chosen as a scholarship winner, my picture may be taken and used by the Hudson Garden Club.

I hereby understand that if chosen as a scholarship winner I will try to be present at any awards ceremony and/or reception to receive my scholarship award.
I hereby understand that if chosen as a scholarship winner it is my responsibility to submit to the Hudson Garden Club, no later than July 31, a certificate of enrollment for the fall semester, which includes the Student ID number and Financial Aid Office address.
I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship.

You will need to provide:

One (1) letter of recommendation from a leader within a volunteer organization you serve or have served

Two (2) letters of recommendation from teachers

Transcript / academic record

Upload photo

(Upload or mail to Hudson Garden Club at PO Box 651, Hudson, OH, attention Scholarship Chairman)

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