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STUDENT INFORMATION
PARENT INFORMATION
Last Name First Name Middle Initial
Male Female Preferred Name
Birthdate Place of Birth Citizenship
Street Address
City State Zip Phone
School district in which applicant resides
County Township/Borough
Parent/Guardian
Mr. Mrs. Ms. Dr. Parent Full Name
Relationship to Child Father Mother Other (please specify)
Home Address
City State Zip Phone
Email Fax
Occupation and TitleBusiness/Firm
Business Address
City State Zip Phone
Email Fax
Parent/Guardian
Mr. Mrs. Ms. Dr. Parent Full Name
Relationship to Child Father Mother Other (please specify)Home Address
City State Zip Phone
Email Fax
Occupation and Title
Business/Firm
Business Address
City State Zip Phone
Email Fax
REQUIRED ESSAY QUESTIONS (300-500 WORDS EACH):
Writing Guidelines: This application must be completed solely by the applicant. Essays must be the individual effort of the student. The essay questions must be typed and double-spaced.
1) The goal of the summer travel is to provide either an academic experience or a service learning component.Please provide two specific examples of study or service programs for high school students that you would be interested in pursuing if awarded this scholarship. Attach program materials if appropriate. Study program or service learning should connect with International Baccalaureate curriculum of study (HL or SL subject areas) or CAS. Please discuss the connection between SL/HL class or CAS and the selected programs.
2) What type of personal goals do you hope to achieve as a result of these specific summer study opportunities?Please discuss how the selected program(s) connects with your IB fields of study and/or CAS projects at Harrisburg Academy.
RESUME:To provide our reviewers with a picture of you as whole person, please provide a resume of your in-school and out-of-school activities, awards, achievements, and experiences.
ESSAY QUESTIONS
Maturity Social Adjustments With Peers Attitude of Parents Integrity Very Mature Healthy Relationships Cooperative Very Trustworthy Appropriate Occasional Minor Problems Uninvolved Usually Trustworthy Somewhat Immature Frequent Minor Problems Overly Protective Occasionally Trustworthy Very Immature Relates Poorly Antagonistic UntrustworthyConsideration of Others Sense of Humor Self-Confidence Conduct Unusually Thoughtful Delightful Has Healthy Self-Image Well-Behaved Usually Considerate Good Needs Some Support Usually Obeys Rules Rarely Considerate Inappropriate Appears Overly Confident Occasionally Misbehaves Selfish Humorless Needs Much Reassurance Frequently Misbehaves
Academic Ability Intellectual Curiosity Written Expression of Ideas Outstanding Strong & Varied Ideas & Mechanics Excellent Good Good Ideas Good, Mechanics Good Average An Occasional Spark Ideas Good, Mechanics Fair Below Average Below Average Ideas Fair, Mechanics Good Ideas & Mechanics Poor
Academic Achievement Ability to Work with Others Oral Expression of Ideas Outstanding Always Works Well Exceptional Good Usually Effective Good Average Sometimes Unable to Cope Only When Called On Below Average Has Great Difficulty in a Group Wants to Dominate Rarely Contributes
Effort & Drive Ability to Work Independently Seeks Help When Needed Outstanding Always Works Alone Always Good Needs Help Occasionally Sometimes Average Needs Help Frequently Never Below Average Requires Supervision
Study Habits Concentration Uses Suggestions Outstanding Exceptional Always Good Usually Good Usually Average Occasionally Distracted Sometimes Below Average Easily Distracted Rarely
RECOMMENDATION 1
ACADEMIC QUALITIES
PERSONAL QUALITIES
PERSONALITY TRAITS
Current English or History TeacherI/We understand that we may not look at this evaluation and assure the evaluator and the school that we will not try to do so. We give permission for the evaluator to release the information on this form to the schools to which we are applying for admission. We understand that as parents we will not have access to this confidential information and that it will not become part of our child’s permanent record.First Parent/Guardian SignatureSecond Parent/Guardian SignatureName of Student
To the Evaluator: Please complete both sides of this form and send to all requesting schools. Your comments will be held in strictest confidence. Thank you very much for your cooperation and assistance.How long have you known the candidate and in what connection?Please list subject taught, including level of difficultyPlease list the textbook used, if applicable
CIRCLE all the words that best describe the student AggressiveAnxiousArticulateAssertiveCheerfulConfidentConscientiousDisobedientEasily DiscouragedFollowerHelpfulHonestInfluentialIrritableManipulativeMotivatedNegative LeaderOver-protectedPassive AggressivePerfectionistPositive LeaderResponsibleSelf-centeredSelf-discIplinedShySocialVivaciousWell-liked
OVERALL RATING
PLEASE COMMENT ON EACH OF THE FOLLOWING REGARDING THIS CHILD.ATTACH A SEPARATE PAGE FOR ADDITIONAL COMMENTS.
Academic Strengths and Weaknesses. Comment concerning writing ability, math skills or other skills appropriate to your subject area will be particularly helpful. Consider such categories as effort, curiosity, motivation, achievement in relation to potential, class participation, and homework preparation.
Emotional Maturity: self-confidence, respect for limits and routine, compliance, ability to make transitions, and response to frustration.
Personal Qualities: leadership, honesty, responsibility, concern for others, and sense of humor.
Outstanding Good Average With Reservations
As a studentAs a personOverall
Is there anything else the committee should know as this student is considered for this merit scholarship?
Do you have any additional information that may be helpful in our evaluation of this student?
May we contact you for further information? Yes No
Teacher’s Name
Position School Name
School Address City State Zip
Telephone Email
Signature Date
Thank you for taking the time to complete this evaluation. Please send a copy to the school and keep an original for your records. Mail directly to: IB Scholarship Committee, c/o Head of Upper School, Harrisburg Academy, 10 Erford Road, Wormleysburg, PA 17043.
RECOMMENDATION 2
PERSONALITY TRAITS
Current Math or Science TeacherI/We understand that we may not look at this evaluation and assure the evaluator and the school that we will not try to do so. We give permission for the evaluator to release the information on this form to the schools to which we are applying for admission. We understand that as parents we will not have access to this confidential information and that it will not become part of our child’s permanent record.First Parent/Guardian SignatureSecond Parent/Guardian SignatureName of Student
To the Evaluator: Please complete both sides of this form and send to all requesting schools. Your comments will be held in strictest confidence. Thank you very much for your cooperation and assistance.How long have you known the candidate and in what connection?Please list subject taught, including level of difficultyPlease list the textbook used, if applicable
CIRCLE all the words that best describe the student AggressiveAnxiousArticulateAssertiveCheerfulConfidentConscientiousDisobedientEasily DiscouragedFollowerHelpfulHonestInfluentialIrritableManipulativeMotivatedNegative LeaderOver-protectedPassive AggressivePerfectionistPositive LeaderResponsibleSelf-centeredSelf-discIplinedShySocialVivaciousWell-liked
Maturity Social Adjustments With Peers Attitude of Parents Integrity Very Mature Healthy Relationships Cooperative Very Trustworthy Appropriate Occasional Minor Problems Uninvolved Usually Trustworthy Somewhat Immature Frequent Minor Problems Overly Protective Occasionally Trustworthy Very Immature Relates Poorly Antagonistic UntrustworthyConsideration of Others Sense of Humor Self-Confidence Conduct Unusually Thoughtful Delightful Has Healthy Self-Image Well-Behaved Usually Considerate Good Needs Some Support Usually Obeys Rules Rarely Considerate Inappropriate Appears Overly Confident Occasionally Misbehaves Selfish Humorless Needs Much Reassurance Frequently Misbehaves
Academic Ability Intellectual Curiosity Written Expression of Ideas Outstanding Strong & Varied Ideas & Mechanics Excellent Good Good Ideas Good, Mechanics Good Average An Occasional Spark Ideas Good, Mechanics Fair Below Average Below Average Ideas Fair, Mechanics Good Ideas & Mechanics Poor
Academic Achievement Ability to Work with Others Oral Expression of Ideas Outstanding Always Works Well Exceptional Good Usually Effective Good Average Sometimes Unable to Cope Only When Called On Below Average Has Great Difficulty in a Group Wants to Dominate Rarely Contributes
Effort & Drive Ability to Work Independently Seeks Help When Needed Outstanding Always Works Alone Always Good Needs Help Occasionally Sometimes Average Needs Help Frequently Never Below Average Requires Supervision
Study Habits Concentration Uses Suggestions Outstanding Exceptional Always Good Usually Good Usually Average Occasionally Distracted Sometimes Below Average Easily Distracted Rarely
ACADEMIC QUALITIES
PERSONAL QUALITIES
OVERALL RATING
PLEASE COMMENT ON EACH OF THE FOLLOWING REGARDING THIS CHILD.ATTACH A SEPARATE PAGE FOR ADDITIONAL COMMENTS.
Academic Strengths and Weaknesses. Comment concerning writing ability, math skills or other skills appropriate to your subject area will be particularly helpful. Consider such categories as effort, curiosity, motivation, achievement in relation to potential, class participation, and homework preparation.
Emotional Maturity: self-confidence, respect for limits and routine, compliance, ability to make transitions, and response to frustration.
Personal Qualities: leadership, honesty, responsibility, concern for others, and sense of humor.
Outstanding Good Average With Reservations
As a studentAs a personOverall
Is there anything else the committee should know as this student is considered for this merit scholarship?
Do you have any additional information that may be helpful in our evaluation of this student?
May we contact you for further information? Yes No
Teacher’s Name
Position School Name
School Address City State Zip
Telephone Email
Signature Date
Thank you for taking the time to complete this evaluation. Please send a copy to the school and keep an original for your records. Mail directly to: IB Scholarship Committee, c/o Head of Upper School, Harrisburg Academy, 10 Erford Road, Wormleysburg, PA 17043.
RECOMMENDATION 3
PERSONALITY TRAITS
Other Current Teacher (such as Foreign Language, Arts, Technology)I/We understand that we may not look at this evaluation and assure the evaluator and the school that we will not try to do so. We give permission for the evaluator to release the information on this form to the schools to which we are applying for admission. We understand that as parents we will not have access to this confidential information and that it will not become part of our child’s permanent record.First Parent/Guardian SignatureSecond Parent/Guardian SignatureName of Student
To the Evaluator: Please complete both sides of this form and send to all requesting schools. Your comments will be held in strictest confidence. Thank you very much for your cooperation and assistance.How long have you known the candidate and in what connection?Please list subject taught, including level of difficultyPlease list the textbook used, if applicable
CIRCLE all the words that best describe the student AggressiveAnxiousArticulateAssertiveCheerfulConfidentConscientiousDisobedientEasily DiscouragedFollowerHelpfulHonestInfluentialIrritableManipulativeMotivatedNegative LeaderOver-protectedPassive AggressivePerfectionistPositive LeaderResponsibleSelf-centeredSelf-discIplinedShySocialVivaciousWell-liked
Maturity Social Adjustments With Peers Attitude of Parents Integrity Very Mature Healthy Relationships Cooperative Very Trustworthy Appropriate Occasional Minor Problems Uninvolved Usually Trustworthy Somewhat Immature Frequent Minor Problems Overly Protective Occasionally Trustworthy Very Immature Relates Poorly Antagonistic UntrustworthyConsideration of Others Sense of Humor Self-Confidence Conduct Unusually Thoughtful Delightful Has Healthy Self-Image Well-Behaved Usually Considerate Good Needs Some Support Usually Obeys Rules Rarely Considerate Inappropriate Appears Overly Confident Occasionally Misbehaves Selfish Humorless Needs Much Reassurance Frequently Misbehaves
Academic Ability Intellectual Curiosity Written Expression of Ideas Outstanding Strong & Varied Ideas & Mechanics Excellent Good Good Ideas Good, Mechanics Good Average An Occasional Spark Ideas Good, Mechanics Fair Below Average Below Average Ideas Fair, Mechanics Good Ideas & Mechanics Poor
Academic Achievement Ability to Work with Others Oral Expression of Ideas Outstanding Always Works Well Exceptional Good Usually Effective Good Average Sometimes Unable to Cope Only When Called On Below Average Has Great Difficulty in a Group Wants to Dominate Rarely Contributes
Effort & Drive Ability to Work Independently Seeks Help When Needed Outstanding Always Works Alone Always Good Needs Help Occasionally Sometimes Average Needs Help Frequently Never Below Average Requires Supervision
Study Habits Concentration Uses Suggestions Outstanding Exceptional Always Good Usually Good Usually Average Occasionally Distracted Sometimes Below Average Easily Distracted Rarely
ACADEMIC QUALITIES
PERSONAL QUALITIES
OVERALL RATING
PLEASE COMMENT ON EACH OF THE FOLLOWING REGARDING THIS CHILD.ATTACH A SEPARATE PAGE FOR ADDITIONAL COMMENTS.
Academic Strengths and Weaknesses. Comment concerning writing ability, math skills or other skills appropriate to your subject area will be particularly helpful. Consider such categories as effort, curiosity, motivation, achievement in relation to potential, class participation, and homework preparation.
Emotional Maturity: self-confidence, respect for limits and routine, compliance, ability to make transitions, and response to frustration.
Personal Qualities: leadership, honesty, responsibility, concern for others, and sense of humor.
Outstanding Good Average With Reservations
As a studentAs a personOverall
Is there anything else the committee should know as this student is considered for this merit scholarship?
Do you have any additional information that may be helpful in our evaluation of this student?
May we contact you for further information? Yes No
Teacher’s Name
Position School Name
School Address City State Zip
Telephone Email
Signature Date
Thank you for taking the time to complete this evaluation. Please send a copy to the school and keep an original for your records. Mail directly to: IB Scholarship Committee, c/o Head of Upper School, Harrisburg Academy, 10 Erford Road, Wormleysburg, PA 17043.
FREQUENTLY ASKED QUESTIONS
Q WHICH STUDENTS WILL BE CONSIDERED FOR AN IB SCHOLARSHIP?A The IB Scholarship is offered to both current and prospective students enrolling for the 2018-19 academic year. The scholarship is not limited to full-diploma candidates. To be eligible, students must plan to take at least four IB courses, and all required assessments and exams for those courses, during their 11th and 12th grade years.
Q HOW MANY IB SCHOLARSHIPS WILL BE AWARDED?A We will award up to four scholarships to current and/or prospective students for the 2018-19 academic year. The application, review, and evaluation processes are the same for new and returning students.
Q WHAT IS THE AMOUNT OF EACH SCHOLARSHIPA The amount of the scholarship is $7,500. The funds support fees and travel for summer study, with the additional funds, if unspent, available for use towards the 2019-20 tuition balance.
Q IS THIS A ONE-TIME AWARD?A Yes, but it will span both junior and senior years. No re-application is required.
Q HOW WILL SCHOLARSHIP RECIPIENTS BE SELECTED?A Scholarship recipients will be selected on the basis of multiple criteria. While a strong academic record is important, so are above-average recommendations from teachers, demonstrated involvement in school and community, and accomplishments in athletics and/or the arts. Essay questions and a resume of activities and awards is also part of the evaluation process. A scholarship applicant will be evaluated with these well-rounded attributes in mind. The scholarship applications are reviewed by an outside committee of business and community partners. The application, review, and evaluation processes are the same for new and returning students.
Q HOW DO I APPLY FOR THE SCHOLARSHIP?A Interested students should complete the application for the IB Scholarship prior to their junior year, in accordance with published deadlines. If the student is not currently enrolled at Harrisburg Academy, then the application for admission is also required. All documents are available from the Admission office and via the Academy’s website.
Q WHAT IS THE SCHOLARSHIP APPLICATION DEADLINE?A Applications submitted by June 11, 2018, will be considered for the 2018-19 academic year.
Q WHEN WILL APPLICANTS BE NOTIFIED OF SELECTION?A The selection committee’s decisions will be communicated to all applicants in August 2018.
Q CAN STUDENTS WHO RECEIVE THE IB SCHOLARSHIP ALSO RECEIVE NEED-BASEDFINANCIAL AID DOLLARS FROM THE ACADEMY?
A Yes. Acceptance of an IB Scholarship does not eliminate a family from consideration for need-based assistance. The amount of an IB Scholarship will not change in the event that need-based financial assistance is also awarded.
Q ARE THERE ANY ADDITIONAL REQUIREMENTS FOR IB SCHOLARS?A Yes. Students receiving the IB Scholarship will be required to speak at a total of three events, such as an Upper School Morning Meeting, Admission Open House or Alumni Event, during their junior and seniors years, to share their summer student with classmates, parents, faculty, and community members. Students will also be asked to collaborate with Academy administrators for communications efforts documenting and promoting their experiences in our various forms of media. Students receiving the IB Scholarship are also required to maintain a strong academic record with a minimum 3.3 GPA and on-time completion of Creativity, Action, and Service (CAS) hours.
