PACT | Marian B. Petersen Memorial Scholarship Application

The Marian B. Petersen Memorial Scholarship is a one time award presented to a participating member of PACT. The scholarship may be used towards tuition costs or fees at any accredited post-secondary school(college or university, community college, trade school, certificate program). Payment will be made directly to the institution to which you accept enrollment.

Scholarship Application

Personal Information

First Name:

Last Name:

Street:

City:

State:

Zip:

Daytime Telephone Number:

Email Address:

Date of Birth:

Gender:

Are you an active member of Girls PACT?

This field is required

Yes

If YES, how long?

If YES, in what capacity? (please check all that apply)

This field is required

Leadership Team

Started a club on campus

Active participant with a regular attendance at meetings for at least 1 year

Other - please explain

Education Information

Name of School Attending:

Cumulative GPA on a 4.0 scale:

Street:

City:

State:

Zip:

List any honors or awards you have received academically, professionally, socially, etc that you believe help to make you the best candidate for the scholarship List your hobbies, outside interests, clubs and extracurricular activities: List your volunteer activities, both school-related and in the community:

Please list the name and address of the post-secondary institution you plan on attending:

Street:

City:

State:

Zip:

Essay Questions

PLEASE NOTE: Essay questions must be completed by first time applicants. If you are applying to renew your PACT Scholarship, only answer the questions under SCHOLARSHIP RENEWAL. Repeat applicants should enter "n/a" to the 3 essay questions.

Answers should reflect the mission of PACT and are limited to 200 words.

What is your most memorable experience with PACT? Tell us how this experience has impacted your life. Considering what you have learned in PACT, what advice would you give your younger self? Why do you deserve this scholarship? Describe three strengths that demonstrate your "worth".

Scholarship Renewal Applicants Only

Tell us how being a part of PACT has prepared you for your college experience. Give one example. Did you start a Club on your college campus? Tell us about the challenges, obstacles and successes. Explain how the scholarship helped you achieve your educational goals this past year and how you plan to to use the scholarship money in the upcoming year.

By checking this box, I give permission for PACT to use all or part of my essay in promoting PACT and waive all rights of compensation.

This field is required

I acknowledge that typing my name below serves as my signature.

Name:

Today's Date:

Please review form to be sure all required fields are filled out.

Scholarship Application

REMINDER: