The Daniel and Jason Stevenson
Extracurricular Achievement Award
2025 Stevenson Award Application
Deadline: March 3, 2025

Applicant name:		
Date of birth (MM/DD/YYYY):		
Years at Hudson High School:		

Section 1: Education
This section of the application refers to your high school classes and college plans. Please complete all relevant information, even if it is also provided on your high school transcript.

List colleges and universities applied to (include location and application or admission status). Create additional rows in the table if necessary. To add additional rows using Microsoft Word, go to the last space in the table (bottom right) and hit the “tab” key to create a new row and advance to the first space in that row.
College Name and Location	Status	

		

		

First-choice college or university:		
Cumulative GPA up to and including last fall, including grades from any previous high school(s):		

List any advanced or college-preparatory high school classes, the grade level you were in when you took the class (i.e. 9th, 10th, etc.), and the letter grade you received in the class. Create additional rows in the table if necessary.
Class Name	Grade Level	Letter Grade	

			

			

List any college/university or special classes, where and when you took each class, and the grade you received. This list should include courses taken through the post-secondary options program at the high school as well as any college-level classes taken during the summer or school year.  Create additional rows in the table if necessary.
Class Name and Location	Grade Level	Letter Grade	

			

			

Section 2: Standardized Test Scores
This section is used to record your standardized test scores (SAT, AP, etc.). Please complete all relevant information, even if it is also provided on your high school transcript.

List your scores on standardized college admissions tests (SAT I and II, ACT, PSAT). Include the name and subject of each test, when you took the test, and the score you received. Create additional rows in the table if necessary.
Name and Subject	Month/Year	Score	

			

			

List your scores on advanced placement (AP) tests. Include the name and subject of each test, when you took the test, and the score you received. Create additional rows in the table if necessary.
Name and Subject	Month/Year	Score	

			

			

Section 3: Awards, Honors, and Special Recognition
This section is used to list any awards and honors you may have received. Please limit your list to awards relevant to your academic and extracurricular achievements, and generally only from your high school years. When appropriate, please indicate if an award was received for the extracurricular achievement described in the next section.
List all awards and honors you have received or applied for, as well as any special recognition you have received. Create additional rows in the table if necessary.
		Award, Honor, or Special Recognition	Month/Year	

		

		

Section 4: Activities and Clubs
This section is used to list your membership and leadership roles in activities and clubs, including academic competitions, service organizations, civic groups, and sports teams. Include both school-based and extracurricular activities.
List all activities and clubs of which you are currently or formerly a member, including the years in which you were a member and any leadership positions and other relevant information. Create additional rows in the table if necessary.
Activity or Club Name	Years	Position(s)	

			

			

Section 5: Extracurricular Achievement
The principal criterion for this award is the completion of a successful extracurricular intellectual endeavor. The endeavor should involve a project or achievement accomplished outside of the regular high school curriculum. It must require a serious commitment from the applicant as well as personal initiative, intelligence, and hard work. For more information and examples of previous winners’ endeavors, please consult the award Web site, at http://webatomics.com/award. 
On the following page(s), describe your endeavor and its significance. Demonstrate how you showed initiative in this endeavor. Mention any awards, honors, or publicity you received as a result of your achievement.