The Heldman Scholar-Athlete Award and Scholarship Application
Name __________________________________________________________DOB______________
Address __________________________________________________________________________
Phone _____________________________ Graduation Date __________________
Current GPA _______________________ NHS Induction Date ____________
SAT Scores: Verbal______________Math_____________ACT Score: _______________
AP Courses Completed and currently taking:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Varsity Team Letters and Year earned:
__________________________________________________________________________________________________________________________________________________________
Private or Public Colleges/Universities in Ohio or engineering schools applied to/accepted by:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Planned Field(s) of Study in college________________________________________________
Final GPA and Transcript to be Submitted by Guidance Office.