Southern York County School District Foundation Stephen E. Kemp Memorial Scholarship Application Form For Penn State University – York Campus Only Application Deadline – August 1st (for fall enrollment) Application Deadline – January 9th (for spring enrollment) Application must be turned into the high school guidance office.
Date: Student Name (last, first, middle initial): Student ID Number: Street Address: City, State, Zip code: I will be taking dual enrollment classes at Penn State University – York Campus in the Fall 20____ Spring 20____ In 100 words or less, how would this scholarship benefit you financially and personally?
_____________________________________ Student Signature
___________________________________ Parent Signature
Official Use Only GPA ________
If available: _______SAT _______ACT _______PSAT
Official Signature:__________________________________________________ C:\Users\Admin\Desktop\Stephen E. Kemp Memorial Scholarship INTERACTIVE Application Form.doc\DBK