Second, third and fourth

W.T. BLAND JR. SCHOLARSHIP
Mr. Bill Bland, whose family was among the early pioneers in the Florida citrus industry, established this scholarship to assist deserving students during their second, third and fourth years of undergraduate studies.
Eligibility

• 
  Priority will be given to students enrolling in Community College or Technical school.
  

• 
  Christian Home and Bible School or Mount Dora High students who have completed their first year of college.
  

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 in Times New Roman Font size 12.

■ Transcripts

Applicants must provide a copy of their entire high school transcript

Applicants must provide a copy of their 1st year fall semester grades and spring class schedule.
■ Letter of Recommendation

Applicants must provide a minimum of 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 the benefit of one individual for tuition, fees and or program costs and materials and paid directly to or in the name of the educational institution, upon receipt of written proof of enrollment verification. Applicants chosen for awards may apply for and receive an additional award for their third and fourth year of training or education, provided their GPA is appropriate for their career goals, as determined by the Trustees. Distributions are to be made without discrimination as to race, color, creed or national origin.





W.T. Bland Jr. 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, will also accept a copy of class schedule and copy of student ID.
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 W.T.Bland Jr. Scholarship Fund.
Signature of scholarship applicant: ________________________________ Date: ____________
Signature of parent/guardian (if applicant is under 18 years old): __________________________
The deadline for this application to be submitted is listed on our website.

Application packages must be submitted to:

Mount Dora Community Trust

P.O. Box 1406

Mount Dora, FL 32756

Initial if you have included the following to apply for this scholarship:

____ Application Form

____ High School Transcript
_____ Fall semester grades from your college or university and spring class schedule
____ Letter of Recommendation (1 or more)
____ Resume (not required)
*Incomplete scholarship application packages will be disqualified.