Valmeyer High School

Request for Application Processing

Complete this form and attach it to all applications turned in to the guidance office.

APPLICATIONS MUST BE TURNED IN TO THE GUIDANCE OFFICE AT LEAST 5 DAYS PRIOR TO THE ACTUAL DUE DATE IN ORDER TO ALLOW TIME FOR MAKING TRANSCRIPTS, GATHERING LETTERS OF RECOMMENDATION, MAILING, ETC.

Name:___________________________Application Due Date:_________

School or Scholarship Name:____________________________________

School or Scholarship Address: _____________________________

_____________________________

I request that my school records be released and attached to this application:

___________________________________       ________________

Student Signature                                                  Date

Check which of the following need to be included with the application, and put a second check by those that are completed.

                                                                   APPLIED ONLINE? YES/NO

Required   Complete

___             ___             Transcript (including State/National ACT Scores)

___             ___             Application fee

___             ___             Essay

___             ___             Recommendation(s)

Names of those supplying recommendations

________________________________________________________

___             ___             Counselor Section of application to be filled

___             ___             Other:______________________________