Docstoc

Teresa Dawn Simmons Memorial Scholarship

Document Sample
Teresa Dawn Simmons Memorial Scholarship Powered By Docstoc
					                        Teresa Dawn Simmons Memorial Scholarship
                                  ( Due April 1, 2009)
(One $300 or Two $150 scholarships for one or two students, enrolling at a four year college or
community college)

Name_________________________________                         SS# ______- ____-______
        First             Middle            Last
Permanent Mailing Address
_________________________
_________________________

Father’s / Step-father’s Name & Employer
_________________________
_________________________

Mother’s / Step-mother’s Name & Employer
_________________________
_________________________

Financial Information:
       Current taxable annual income (yours plus your parents’) __________________
       Total savings (yours plus your parents’) ___________________
       Value of other scholarships already received ___________________
       Note any special financial circumstances;
       __________________________________________________________________
________________________________________________________________________

College you are planning to attend: ________________________________

Extracurricular Activities, honors, community involvement, etc. (Please list below or
attach a separate sheet of paper with this list.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Please state briefly the reasons this scholarship should be awarded to you. (Include details
about financial need, personal goals, intended contributions to society, special
circumstances, etc.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

GPA (weighted) ______              Class Rank:____of ____              SAT scores: M____/ V_____

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:1
posted:12/13/2011
language:
pages:1