SCHOLARSHIP APPLICATION 

One Dozen Who Care, Inc.

PO Box 1044

Andrews, NC  28901

One Dozen Who Care – Prescott Academic Scholarship

 

Today’s date: _________________________

Requested academic year of needed scholarship: __________________________________________________

 

Last Name: _______________________   First Name: _______________________ Middle Initial: ___

Address: __________________________________________________________________________

City: ____________________________________        State: __________       Zip: ________________

Email: _____________________________________________________________________________

Phone: cell_________________________________ home___________________________________

EMPLOYMENT: (Please also attach a resume with this application)

Currently employed with:

Company name: ______________________________________________________________________

Your role: ___________________________________________________________________________

Contact person: ______________________________________________________________________

Phone: _____________________________________________________________________________

Address: ____________________________________________________________________________

Past employment: ____________________________________________________________________

Your role: ___________________________________________________________________________

Contact person: ______________________________________________________________________

Phone: _____________________________________________________________________________

Address: ____________________________________________________________________________

EDUCATION: (Please also attach transcripts with this application)

Where did you attend high school? _______________________________________________________

What was easy/hard for you in school? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What do you love about school? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Current level of education: ________________________________________________________

Classes already taken that have personal meaning: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are you currently enrolled in a college or university?  Yes ________      No ________

If so, where are you enrolled: ___________________________________________________________

What are your estimated annual tuition and fees? ___________________________________________

Please list any other fees, charges that you incur relative to attending school: ________________________________________________________________________________________________________________________________________________________________________

What degree are you seeking? ___________________________________________________________

How many more years are needed for you to complete your education? ___________________

Please list your educational areas of interest: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are there other schools you are interested in attending? List them here: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

FINANCIAL:

Your personal annual income: ___________________________

Your household annual income: __________________________

Number of dependents: ___________________________

 

ATTACH THE FOLLOWING TO THIS APPLICATION:

1.      Resume – which should include contact information, education, jobs, volunteer work, organizations, memberships, awards, and special interests

2.      Transcripts – official transcripts showing a GPA of 2.5 or higher from your most recent degree-awarded institution, which may include high school or college.  Transcripts may either be attached to this application or requested by you and mailed directly to One Dozen Who Care, Inc. from your institution.

3.      A two to three page essay in which you describe yourself, your educational dreams and goals, and any other pertinent information about yourself.  Please include why you believe you should be awarded the One Dozen Who Care - Prescott Academic Scholarship

4.      A current picture of yourself

5.      2 Letters of Recommendation from individuals (non-family members) who know you well

 

APPLICANT AGREEMENT:

I submit this application for review by the One Dozen Who Care, Inc. Board of Directors.  If chosen for the One Dozen Who Care - Prescott Academic Scholarship, I promise to use the scholarship funds for purposes associated with earning my degree, including paying tuition, paying for school fees, paying for books, or ____________________________________ (please explain) which allows me to further my education.  I understand that these dollars are not to be used for living expenses or other expenses which don’t directly impact attending school, taking courses, or pursuing my education.  I have completed this application honestly and to the best of my ability, and attached all necessary items.

 

_____________________________________                      ____________________________

Signature                                                                                 Date

NOTE TO THE APPLICANT: Please complete and sign this application form, attach the supporting items requested, place all of the items in a stamped, addressed envelope, and mail your packet to: One Dozen Who Care, Inc., PO Box 1044, Andrews, NC 28901.  All applications MUST BE POSTMARKED by February 15, 2019.