BLUEMONT CITIZENS’ ASSOCIATION SCHOLARSHIP

Application Deadline: April 4, 2018

The Bluemont Citizens’ Association Scholarship Program is designed to help young Bluemont citizens pursue their education beyond high school by providing a modest financial grant. This award is in recognition of the students’ contributions towards our community and the importance of education.

To be eligible, a candidate must meet the following criteria:

  1. Be a resident of Bluemont (having a 20135 zip code or having/being eligible for a 554 telephone exchange)
  1. Be entering a post-secondary educational institution (including a college or university, or technical or trade school)
  1. Have participated in community service, with priority given to service in Bluemont (e.g., the Bluemont Fair, the Community Center, Keep Loudoun Beautiful events, other periodic Bluemont cleanups, and other community service activities)

The following two-page application must be completed in full. The application should be delivered to the high school guidance office by April 4, 2018.

Successful candidates will be notified by phone or email, and awards will be presented at the annual Spring Fling Bluemont picnic as well as at the high school award ceremony. The money will be sent directly to the school or program the recipient will be attending.

BLUEMONT CITIZENS’ ASSOCIATION
SCHOLARSHIP APPLICATION

Application Deadline: April 3,2017

Applicant’s Name

High School Name and Graduation Date

Address

Mailing Address (if different from above)

Applicant’s Email

Applicant’s Telephone Number

Parent or Guardian Name(s)

Parent or Guardian Telephone Number (if different from above)

Parent or Guardian Email

Name(s) of school(s) applicant hopes or plans to attend. Accepted? *

*Award is contingent upon acceptance into a secondary institution/trade school.

Intended area(s) of study, if known

BLUEMONT CITIZENS’ ASSOCIATION
SCHOLARSHIP APPLICATION, Continued

Please complete the table below with a description of the community service activities in which you have participated during your high school career, if any. If necessary, you can attach a separate sheet of paper recording your service activities, as long as you include the relevant information specified below.

Description of Service / Estimated
Dates/Hours / Name & Phone Number of Adult Who Can Verify Service

Additionally, please attach the following:

  1. Required: A brief essay (minimum 100 words) describing your relationship with the community of Bluemont. Consider including additional information about the community service in which you have participated, with the understanding that the scholarship amounts awarded are based on the depth of your involvement with our community.
  2. Optional: Letters of reference and high school transcripts are not required, but will be taken into consideration if provided.
  3. Optional: A statement of financial need is not required, but will be taken into consideration if provided.

Thank you, and good luck!

1