COLORADO SOCIETY OF MAYFLOWER DESCENDANTS

2013 SCHOLARSHIP APPLICATION

Applicant: ______

Street Address______

City, State, Zip______

(Only Colorado residents are eligible)

Home phone______Cell phone______

Email______

YOUR HIGH SCHOOL:______

Address______

Phone______

COLLEGE, UNIVERSITY, OR OTHER INSTITUTION that you will be attending

(if known):

Name of institution: ______

Address______

Phone______

ACADEMIC STATISTICS: Overall GPA______

SAT/ACT Scores______

Class Rank ______out of ______

MAYFLOWER: If you are descended from a 1620 passenger complete the following:

Ancestor’s name______

Enclose documentation as an attachment to show your direct ancestry to this Mayflower ancestor (this needs to be pedigree chart on a single page.)

Is/was a member of your family a member of the Society?______

If so, what is/are their name, chapter, and state? ______

ATTACHMENTS:

1. The completed application form with a resume listing extracurricular activities (both in school and community), employment, honors or awards, and leadership opportunities you have been involved in during high school.

2. A Mayflower essay on the following topic: “Prior to coming to the New World, the Separatist Pilgrims spend about twelve years in the Netherlands.” Discuss the effects that their extended exposure to Dutch culture had on their New World settlement at Plymouth. If you wish you may choose any aspect of their colonial establishment to demonstrate your conclusion.This essay must be written in letter from one of the Pilgrims, the date is 1630. The essay must be 750 words or less. Essays will be evaluated for content, organization, style, and grammar.All entries must be typewritten and sources cited in appropriate bibliographic style.

3. One letter of recommendation from a teacher, counselor, business person, peer or family friend.

4. A copy of your official high school transcript.

5. A copy of your SAT and/or ACT scores.

6. Information on your Mayflower ancestor, if applicable.

The deadline for applications is March 1, 2013. Any applications postmarked after this date will be ineligible for consideration.

Please mail THREE COPIES of the application, ONE COPY of the essay plus a CD with a copy of the essay, the letter of recommendation; and TWO COPIES of all other materials in a 9 x 12 envelope to:

Donna Bottini

Colorado Society of Mayflower Descendants

Scholarship Committee Chairman

1515 Lane 32

Pueblo, CO 81006-9461

E-mail:

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