PETER SEPE MEMORIAL SCHOLARSHIP
(Number) (Street) (Town)
Date of Birth: _______________________________________________________________
(Month) (Day) (Year)
Home Telephone #_____________________________Other Phone #_____________________
Class Rank: ___________ GPA: ______________ Date of Graduation: ___________________
College(s) to which you have applied:
Have you been formally accepted at any of the above? _________________________________
What major or course of study will you pursue? ______________________________________
List extra curricular activities/organizations in which you have been involved during your high school years. Use additional space if necessary.
Activity/Organization Years of involvement Positions held
List all volunteer service within your school and community.
Program Length of time involved Description of Activity
ESSAY: What life lessons did you learn while participating in high school sports? (250 words)
Please return application with essay, high school transcript and a letter of recommendation from your coach by February 13, 2017.
Mail to: Mt. Hope High School Guidance Office
199 Chestnut Street, Bristol, RI 02809