Independence Middle School

Home of the Eagles

2015-2016 PTA Scholarship Application
PERSONAL INFORMATION SHEET
Name: Shyanne Harvey
Email Address: shyanne.harvey14@yahoo.com
Mailing Address: 1709 Sunrise Drive, Virginia Beach, VA 23455
Telephone #: (757) 284-7674
Date of Birth: 04/05/1998
Mothers Occupation: Homemaker
Fathers Occupation: Career Counselor in U.S. Navy
Number of siblings at home: __2__
Number or siblings presently
attending college: __0__
High School from which you will graduate: Bayside High School
Years you attended Independence Middle School: __2__
College/University you plan to attend in the fall: Le Moyne College
Intended major/field of study: Elementary Education
List any extracurricular and/or community activities (Include any offices held:
Extra-curricular:
o Track and Field
o Cross Country
o SCA: Historian
o Class Clubs
o Newspaper: Photographer and Journalist
o Educators Rising: Vice President
Community Activities:
o Sunday School Teacher at Kempsville Christian Church
o High School and Elementary SCA Leadership Workshop Staf
o Camp Rudolph Media: Photographer
o Vacation Bible School: Group Leader
List any awards, honors, and/or recognitions you have received:
o Honor Roll
o Sportsmanship Award
o Coaches Award (Softball)

If applicable, your employment history (Employer, Position, Dates):

o Internship in first grade classroom at Thoroughgood Elementary School
March 2016 Present
o Bagger at the Little Creek Commissary
June 2015 Present
*I certify that all of the application information is correct.
Signature of applicant:
Signature of Parent/Guardian: