Section I
Last Name  * required	First Name  * required
I.D. Number	Counselor Initials
Street Address	City  * required Zip Code  * required
Email Address Telephone Number	Date of Birth
Parent/Guardian (First and Last Name)  * required	Parent/Guardian (First and Last Name)
School Attended West East Date of Graduation  * required	Rank GPA ACT Composite
School Activities & Year Please List Activities (Indicate the Years in Parentheses).	Community Activites & Year Please List Community Activities (List Years in Parentheses)
List Honors/Awards (Scholastic & Athletic)	Please provide information about your special interests, hobbies, special responsibilities, etc.
College/University You Plan to Attend  * required Tentative Major & Minor	If you have a part-time job, please indicate where and your primary responsibilities.
What are your career plans upon completion of your education (post college)?
Please list any scholarships you have already been awarded and their value. Have you filed a FAFSA? No Yes
Section II (Not For Public Release)
What do you estimate the annual cost of your college education to be (tuition, room/board, supplies)? How much will your parents contribute annually to your education costs? Parent/Guardian Occupation & Annual Income: IE Father Job/Salary Parent/Guardian Occupation & Annual Income IE Mother Job/Salary Amount of Annual Child Support Received if Parents are Separated/Divorced:	If you have brothers or sisters in preschool, elementary or middle school, please list names, ages and the names of the schools they attend. IE Name, Age, School If you have brothers or sisters in college, please list names, ages and the names of the schools they attend. IE Name, Age, College
If you would like, please explain any unusual family circumstances (financial or otherwise) which should be considered in your application.
Section III
By clicking the submit button below and applying for a CARES Scholarship,  I hereby grant permission for Morton High School to release: A copy of my high school transcript as part of this application for a scholarship. Information (not including Section II) to the news media if I am chosen as a scholarship recipient. I attest to the accuracy of the above statements, and if requested, will supply a copy of my federal income tax return. If, as a result of this application I am awarded a scholarship, I hereby certify: I will continue my education as a full-time student at an accredited college or university of my choice and will pursue a baccalaureate degree. I shall use this scholarship for payment of tuition and/or required fees, institutional equipment, materials, books or room and board expenses billed by the institution. I agree No

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