Application Form MHA Ronno Cook Memorial Scholarship Application Date* Name (first, middle, last)* Mailing Address* E-mail* 1. How did you hear about our scholarship?* MHA website MHA facebook Poster Newspaper Parent Friend Guidance Counselor Other 2. I plan to attend Western Piedmont Community College fall 2020.* Yes No What area(s) of study do you plan to pursue?* 3. List your extracurricular activities and honors, talents, or hobbies. Attach an extra sheet if needed.* File Upload: Upload 4. Describe any volunteer work in which you have been involved. Attach extra sheet if needed.* File Upload: Upload 5. Attach one or two letters of reference from educators, employers, volunteer supervisors, or mentors. (not required) Reference #1 Upload Reference #2 Upload 6. Attach a 500-1000 word essay telling us about yourself and your goals. You might want to include things like your strengths, needs, and challenges, what motivates you, what getting this scholarship would mean to you, and what difference will it make in your life. * Upload Submit
