PSATS Scholarship Application Form

Thank you for your interest in the PSATS Scholarship! Please review the instructions below and complete the following fields to submit your application. Incomplete applications will not be considered. If you would prefer to send a physical application, click here to download and print a PDF version of the application.

Please have the following items ready to upload with your application:

Personal accomplishments list of honors, leadership roles, and activities you have completed or are currently undertaking in school or local community. Please include years of involvement.
Copy of high school transcript
Two letters of recommendation, one of which must come from a township supervisor

Interested applicants must attend at least one township meeting and submit an essay on one topic corresponding to their chosen scholarship type.

Local Government Achievement – Recount a project, service, or event which you participated in that had a strong impact on you and/or your local community.
Academic Achievement – Describe the importance of local government within your community or across the state of Pennsylvania.

Essays must be at least 500 words, typed in 12-point font with double spacing. Each essay will be judged by an independent panel based on originality, knowledge of the subject matter, and grammar.

Completed applications must be received by Friday, January 26, 2024. Winners will be selected before the 2024 PSATS Annual Conference at the Hershey Lodge.

Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Layout

Township of Residence *

Phone *

County of Residence *

Email *

High School *

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

GPA *

Name of Planned College/University/Program *

College/University/Program Address *

Address Line 1

Address Line 2

City

State

Zip Code

Personal accomplishments list of honors, leadership roles, and activities you have completed or are currently undertaking in school or local community. Please include years of involvement.

Copy of high school transcript (PDF)

Click or drag a file to this area to upload.

Letters of Recommendation from a township supervisor (pdf)

Click or drag a file to this area to upload.

Letters of Recommendation from non-township staff

Click or drag a file to this area to upload.

Upload Essay, Essays must be at least 500 words

Click or drag a file to this area to upload.

Certification

I hereby certify that the information provided is truthful and accurate to the best of my knowledge. I hereby apply for (choose only one): *

Release of Information

By submitting the Pennsylvania State Association of Township Supervisors (PSATS) scholarship application form you are giving your consent for PSATS to release your personal information to the Scholarship Review Panel to consider you for scholarships on behalf of PSATS. This includes, but is not limited to, your application information, essay, and transcripts. Should you be elected to receive a scholarship, PSATS may request updates of your progress including GPA, classes taken, etc. Submission of this form confirms you agree to these terms and conditions. *

I have read and agree to the above terms and conditions.