For qualified graduating seniors of
Warren County High School and John Handley High School

The Shenandoah Fine Art Scholarship of New York, Inc.
www.artscholarship.org

PO Box 660167, Flushing, Queens, NY 11366   
MLFazio@aol.com
___________________________________________________________

JOHN HANDLEY HIGH SCHOOL
Art and Athletic Scholarship Application 2011
Postmark by April 26, 2011

The following is the description of that portion of the scholarship to be awarded to John Handley High School as found in the certificate of incorporation:

"A scholarship is to be awarded to a graduating senior at John Handley High School, Winchester, Virginia, who has had a performance part, on stage, in the senior play (not including being on stage crew), or who has participated in any of the school's listed stage performances, music concerts, or chorus, as a performer, or who took six (6) semesters of classes in the visual arts*, or any equivalent combination of the above activities, and who also participated in the varsity sports of football, wrestling, or baseball for a total of five (5) seasons in any combination thereof."

The mission of this award is to encourage Handley athletes to participate in the visual and performing arts.

*For purposes of the scholarship, visual art is defined as drawing, painting, and sculpture. It does not include computer art, film, video, or photography.

Applicant's Name (print) _______________________________ Home Telephone __________

Mailing Address _____________________________________________________________

             _______________________________________________________________

Email address:   _______________________________________________

Parent/Guardian ________________________________ Home Telephone ___________

Mailing Address ________________________________________________________

             _______________________________________________________________

Guidance Counselor ______________________________ School/Home Telephone __________

Mailing Address ____________________________________________________________

            __________________________________________________________________

In addition to completing the standard John Handley High School scholarship form a student must also complete this four part application.  No part of the application should be completed by a teacher or guidance counselor.

1. In addition to sending the standard John Handley High School scholarship form a student
applicant should also submit this application. Also, send in the teacher recommendation.

2. Mail the John Handley High School standard scholarship application, and The Shenandoah
Fine Art Scholarship application to the above address for The Shenandoah Fine Art Scholarship.

3. Give the referral to an art/music/theater production teacher with an addressed envelope. The envelope should also be addressed to The Shenandoah Fine Art Scholarship address listed above. Have her/him complete the form and mail it directly to the scholarship fund address in New York.

All completed applications should be in the mail to the New York address listed above.

Should you win the award do you give your permission for your photograph and name to be used
on literature for future fund raising? _______ yes    _______no

Signature of applicant___________________________Year of Graduation___________Date_________

When all this information is put together please have your guidance counselor sign below certifying that the enclosed information is true. All completed applications should be mailed to the above address for The Shenandoah Fine Art Scholarship of New York.

Guidance Counselor's Signature ____________________________________________
 
 

Page 2.  The Arts

1. List the Art courses taken at John Handley High School:

Course __________________________________

Teacher's signature __________________________ Year you took the class ___________
 

Course __________________________________

Teacher's signature ___________________________ Year you took the class ___________
 

Course __________________________________

Teacher's signature ___________________________ Year you took the class ___________

(List additional art classes on the back.)

2. How many semesters (not years) did you take art? ____________

3. List other art activities you have participated in, whether school related or not: ____________

_____________________________________________________________________

Adult in charge: _________________________ Telephone: _______________________


***********************************************

Art Work Photos:  This form is to send five copiesof your art work with verification from your art teacher.

4-8.  This page has to be copied five times.  One page for each photograph.
 
 





Attachment for submitting one photograph

You must submit a total of five (5) photos of your work. Each photo is on a separate sheet.
 
 

(Paste photograph here.)


 










List:
a. Student artist:______________________________________________
b. If this work was done in school list the name of the teacher at the time of the assignment__________________________________________________
c. Medium_____________________
d. Classification: Drawing, Painting, or Sculpture______________________________
e. Objective of the piece:_____________________________________________________

________________________________________________________________________
 

f. Signature of your current art teacher who is confirming this work is yours.
Art Teacher_____________________________________________
 
 
 

*******************************************


9. List the stage performances you were in and what part you played: (senior play, stage productions, music or choral performances, etc.) Do not include stage crew.
 

* Production: ____________________________________________ Year _____________

Describe your performance part ________________________________________________
_________________________________________________________________________
________________________________________________________________________

Faculty advisor or counselor's signature ______________________ Telephone ___________
 

* Production: __________________________________________ Year _____________

Describe your performance part ________________________________________________
_______________________________________________________________________
________________________________________________________________________

Faculty advisor or counselor's signature ______________________ Telephone ___________
 

* Production: _________________________________________ Year _____________

Describe your performance part ________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Faculty advisor or counselor's signature ______________________ Telephone ___________
 

* Production: ___________________________________________  Year _____________

Describe your performance part ________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Faculty advisor or counselor's signature _____________________ Telephone ____________
 

5. List other performances, concerts, or plays and describe your performance part.
 
 
 ***************************


Page 3. Athletics

6. List the varsity sports you have played: (either football, wrestling, and/or baseball)
 

Sport: _______________ Years ________________ Coach __________________________

Coach's signature ___________________________________ Telephone ______________

Coach's mailing address if available _____________________________________________

                                                     _____________________________________________
 
 
 

Sport _______________ Years ________________ Coach __________________________

Coach's signature _________________________________ Telephone _______________

Coach's mailing address if available _____________________________________________

                                                     _____________________________________________
 
 
 

Sport _______________ Years ________________ Coach ___________________________

Coach's signature __________________________________ Telephone _______________

Coach's mailing address if available _____________________________________________

                                                     _____________________________________________
Other sports:
 
 
 
 

-------------------------------------------------------------------------------------------------

Part 4   Required teacher recommendation.  Part 4 should be separated from the rest of the application and given to the teacher.
Name of Art/Music/Stage Production Teacher (print) ______________________________
Area of instruction ______________________

 

For qualified graduating seniors of
Warren County High School and John Handley High School

The Shenandoah Fine Art Scholarship of New York, Inc.

PO Box 660167, Flushing, Queens, NY 11366  
Email MLFazio@aol.com

ART/MUSIC/STAGE PRODUCTION
  TEACHER RECOMMENDATION

The student applying for the scholarship should bring this to a qualified instructor with an envelope addressed to the scholarship.  Thank you for your time.

Name of the John Handley High School student who is applying for the Art and Athletic Award of The Shenandoah Fine Art Scholarship of New York.

(print) ________________________________________________

This portion of the application has to be filled out by the school's art/music or stage production teacher and mailed by that teacher to the above address for the scholarship.

Please rate 1-5, with 5 being the highest.

Motivation: _____
Talent: _________
Responsibility: ___
Likelihood of completing college: ____

How long have you known this student? __________

Other comments regarding this student: (Use the back for more room.)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Signature of Art/Music/Stage Production Teacher:  ______________________________
Mailing address: ___________________________________________________
                         ___________________________________________________
Telephone:    ________________________________  Email:  ____________________________