2011 James William ProctorBook Award

Deadline: March 31, 2011

Return completed application to:Wesley Proctor Ministries

P.O. Box 5571

Philadelphia, PA 19143

Last Name(please print)First NameMiddle Name

Permanent Address (Number/Street)CityStateZip CodeTelephone Number

( )

Gender: Date of Birth College/University/Vocational School I plan to attend

during the 2011-2012 academic year:

Male Female ____/____/_____

Proposed major area of study: Proposed Graduation Date Name of High School Attended

(include city & state)

____/____/_____

I plan to attend the academic terms: Full-time (12 or more credit hours) ¾ time Part-time (1-9 credit hours)

I plan to reside: On campus Off campus

Personal Statement

A 500-word,typed, autobiographical essay must accompany this application. Includesignificant experiences, school involvement, community service and the qualities of character and leadership important to achieving your goals. Be sure to state your aspirations in terms of your educational and career pursuits. Also, explain why this book award is vital to you personally. Include your name on the Personal Statement!

Certification—(to be signed by all applicants)

Applicants must submit high school transcript and college/university “letter of acceptance” with this application!

I have read and understand the enclosed information. I affirm that the information which I have provided on this application form and any additional material that I have submitted are true to the best of my knowledge. I also understand that furnishing false information may result in revocation of this award. I hereby release this information,to be used by the James William Proctor Award Committee,for the sole purpose of determining my eligibility as a recipient of this award.

______

Applicant’s Signature Date

Dear Applicant:

Wesley Proctor Ministries proudly announces the 4th annual James William Proctor Book Award, established to assist recipients with thecosts of their college curriculum books for the Fall 2011 academic semester. Each applicant must currently be a high school senior who will enter the freshman year of college or vocational school during Fall 2011.

Recipients will be honored and presented with an award of $150.00 each at the annual award banquet, to be held in May 2011. To be deemed eligible,the following guidelines of this application must be adhered to carefully:

  • Read all sections of the application thoroughly
  • Clearly print the required information on the application
  • Sign and date the application (forms will not be processed without applicant’s signature)
  • Attach high school transcript with GPA (grade point average)
  • Include your college/university/school “letter of acceptance”
  • Personal Statement (500-word typed essay) must accompany application

(Handwritten essays will not be considered!)

  • Completed applications must be received by March 31, 2011-- no exceptions!

Mail to: Wesley Proctor Ministries, Inc.

c/o JWP Book Award

P.O. Box 5571

Philadelphia, PA 19143

Congratulations for pursuing higher education; and making your dream a reality!

Sincerely,

The James William Proctor Award Committee