38 Bellevue Ave Suite G

Newport RI 02840

Please submit the following:

1. Applicant Information Page found in this packet.

2. High School transcript

3. Two letters of recommendation, one of which must be from a teacher. The

second letter should be from an individual with specific knowledge of the

applicant‘s special talents and abilities in his/her art form, and should address the

following:

• Recent accomplishments

• Demonstrated willingness to work toward improvement

*Deadline for applications is May 15, 2009

Shantel Bailey Project Scholarship Application for 2009

Personal Information

First Name: ___________________     Last Name: _______________________

Address: __________________            Home Phone: _______________________

 __________________________          E-Mail: _______________________ 

City: ___________________

State: _______ Zip:______

U.S. Citizen ___Yes ___ No

Educational Information

High School: __________________        GPA: __________________

Graduation Date: __________________

Extracurricular Activities

Activity                                         Roles and Responsibilities

1. ____________________    ________________________________________________

                                                ________________________________________________

2. ____________________    ________________________________________________

                                                ________________________________________________

3. ____________________    ________________________________________________

                                                ________________________________________________

4. ____________________    ________________________________________________

                                                ________________________________________________

5. ____________________    ________________________________________________

                                                _______________________________________________

Volunteer Activities

Activity                                            Roles and Responsibilities

1. _________________      ____________________________________________

2. __________________       ___________________________________________

3.  __________________      ___________________________________________

4.  __________________       ___________________________________________

5.  __________________        ___________________________________________

Essay Question

In the space provided, tell us about experiences that have influenced your life and how these experiences will help you in your career choice.