Advanced Placement ScholarshipAs members of the National Honor Society, the organization has been striving for the

betterment of our community, year after year. This year, the Mount Pleasant chapter of the National Honor Society has decided to give back to the members who have devoted much of their time to the community, and have continued to excel in the areas of scholarship, leadership, service and character. All National Honor Society Members who will be taking an Advanced Placement Test this May can apply to this scholarship, which will help pay the remaining balance of an Advanced Placement Test after payment of the deposits. Please fill out the following questionnaire to determine your eligibility for this scholarship.

Name: _________________________________ Grade: _______ ID #: ___________________

Phone #: ___________________ E-Mail: ___________________________ # of exams: ______

Questionnaire (maximum of 200 words per question):

1. Please list all Advanced Placement tests you plan to take in May.

2. Why do you feel that you deserve this scholarship? Please explain.

I affirm that all information in this application is true, complete, and answered to the best of my ability. I understand that submitting an application does not guarantee selection for this scholarship.

APPLICANT SIGNATURE (sign, print, date):_______________________________________________

Turn your questionnaires in to Mrs. Cocovich by March 9, 2012 in room 805!Please provide proof of payment for your deposit by attaching a copy of your receipt.