How to Apply

Name:        Phone Number  Email address

Address: City: State:Zip:

Grade Level 9 10 11     School: Altoona-Midway HS Caney Valley HS Cherryvale HS Elk Valley HS Field Kindley HS Fredonia HS Independence HS Neodesha HS Parsons HS Sedan HS

Do you plan to attend college after high school? Yes No

Have either of your parents (guardians) graduated from a 4-year college (bachelor's degree)?  Yes No

Number of family members living in your house?

2007 Annual family income:

Questions/Comments?

 Thank you for your interest! We will send out an application packet for you to fill out. If you have any questions, feel free to contact us!