Joel and anna see memorial scholarship

JOEL AND ANNA SEE MEMORIAL SCHOLARSHIP
This scholarship will recognize Mount Dora area high school seniors who plan to pursue a degree in the field of medicine.
Eligibility

• 
  Graduating senior from Mount Dora High or Christian Home and Bible School
  

• 
  Minimum 3.0 GPA
  
• 
  Financial Need
  
• 
  Pursing a degree in the field of medicine
  
• 
  Enrolled as a full-time student with at least twelve (12) credit hours per semester (excluding summer sessions).
  

The information below outlines the requirements of the scholarship application package. Please be sure to include all parts listed below or your submission will be disqualified.

■ Application Form

Applications must be completed in full using black or blue ink. Typed applications are preferable on the PDF form.

■ Transcript

Applicants must provide a copy of their entire high school transcript.

■ Letter of Recommendation

Applicants must provide one (1) letter of recommendation from a teacher, employer, sports coach or other professional who can attest to your capabilities.

■ Resume

Preferable (not required)

Scholarships will be awarded for tuition, fees and or program costs and materials and paid directly in the name of the educational institution upon written proof of verification of enrollment. Applicants chosen to receive the scholarship may continue there under, as long as they meet the GPA requirements (Pre-med 3.5, pre-nursing 3.0 other 2.75) and is still pursing a degree in the medical field, up to a maximum of four years. Students in a two year program may qualify for up to two years of assistance at $500 per year. Distributions are to be made without discrimination as to race, color, creed or national origin.




Joel and Anna See Memorial Scholarship Application

Applications must be completed in full using black or blue ink. Typed applications are preferable on the PDF form. Incomplete applications will be disqualified.
1.	Last Name:	First Name:
2.	Mailing Address: Street: ­_______________________________________________________ City: ______________________ State: _____ Zip: _______
3.	Daytime Telephone Number: ( )
5.	Date of Birth: Month: _____________ Day:_________ Year:_______
6.	Social Security Number:
7.	In the Fall, I will be attending college as a: (Circle one) Freshman Sophomore Junior Senior
8.	I will be attending the following school in the Fall: ­________________________________________________ (Proof of current student enrollment from the above school, in writing, is required by September 12, i.e. official verification from the school registrar OR a copy of your class schedule and student ID card.)
9.	Grade Point Average (GPA): ___________ (On a 4.0 scale) Attach official transcript
10.	SAT Composite Score: _____________ ACT Composite Score: _________
11.	Name of high school attended:
12.	What specialty/major do you plan to major in as you continue your education?

13.			List expenses you expect to incur per semester or quarter
			A.	Tuition: Amount: $
			B.	Books: Amount: $
			C.	Room & Board: Amount: $
			D.	Other Expenses: Amount: $ Describe below under comments
			E.	Other Expenses: Amount: $ “
Comments:
14.		List other financial assistance you will receive per semester or quarter
		A.		Personal: Amount: $
		B.		Other Scholarships: Amount: $ Describe below under comments
		C.		Grants: Amount: $ “
		D.		Student Loan (s): Amount: $ “
		E.		Other Financial Resources: Amount: $
Comments:
15.	Do your parents still claim you as a dependent for tax purposes? ______ Yes ______ No
Father/Guardian:					Occupation:			Annual Income:
Address:
Mother/Guardian:					Occupation:		Annual Income:
Address:
Your Occupation (if employed):						Annual Income:

Use an additional sheet if you need more room to list financial information requested in items 13 & 14.

16.	What are your educational and professional goals and objectives? (You may attach your resume if it has this information).

17.	List your academic honors, awards and membership activities while in high school or college: (You may attach your resume if it has this information).

18.	List your community service activities, hobbies, outside interests and extracurricular activities: (You may attach your resume if it has this information).

STATEMENT OF ACCURACY
I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote the Mount Dora Community Trust Joel and Anna See Memorial Scholarship Fund.
Signature of scholarship applicant: ________________________________ Date: ____________
Signature of parent/guardian (if applicant is under 18 years old): __________________________

Application packages must to be submitted to the guidance office of your high school by the deadline on our website.

Initial if you have included the following to apply for this scholarship:
____ Application Form
____ High School Transcript
____ Letter of Recommendation (1 or more)
____ Resume (not required)
*Incomplete scholarship application packages will be disqualified.