The Emily Picco Memorial Scholarship
c/o Gayle Pirtle, El Dorado High School
561 Canal Street, Placerville, California 95667

Click to download a printable (pdf) copy

Name:

Address:

Phone:

Father's Name:

Father Employed by:

Mother's Name:

Mother Employed by:

Brothers and Sisters Living at Home and Ages:

College/Technical or Vocational School you plan to attend and the cost:

Major/Career Goal:

Honors, Awards, Scholarships or other Recognition Received Previously:

School:

Community:

Have you applied for other FINANCIAL AID?     Yes_____ No_____

Have you applied for other SCHOLARSHIPS?    Yes_____ No_____

Please describe your interest in the field of Media Arts and detail the steps you've
taken to expand that interest:

SIGNATURE OF APPLICANT

Please include:

1. Two letters of recommendation, only one of which can be from a faculty member;
2. Please attach a personal essay (250 words or less) of your goals, achievements, and activities (not confined to your school environment);
3. Please attach an unofficial transcript.
4. Please write a 150 words or less describing how you plan to use your education to benefit your family, friends and your community in the future.