GEORGE WASHINGTON CARVER
BIRTHPLACE ASSOCIATION

George Washington Carver Scholastic Scholarship

2011/12

The George Washington Carver Birthplace Association (CBA), in conjunction with the George Washington Carver National Monument, is pleased to accept applications for the 2011 Scholastic Scholarship. This scholarship program recognizes educational excellence and outstanding public service in honor of Dr. George Washington Carver, Educator, Scientist, and Humanitarian. This scholarship opportunity is designed to inspire the creative minds of young people who are seeking a post high school education in Science, Art, Agriculture, Music, or Education. The amount of the award is $500.00 for the 2011/12 academic year ($250.00/semester). To be considered eligible, an applicant must meet the following requirements:

  1. Must be graduating from an accredited local high school in the spring of 2011 and be eligible for enrollment in college by the fall of 2011, or be completing a high school equivalent home school program in the spring of 2011 and be eligible for enrollment in college by the fall of 2011.
  2. Be pursuing study in one of the following disciplines: Science, Art, Agriculture, Music, or Education.
  3. Attend an accredited college (2 or 4 years) within 75 miles of GeorgeWashingtonCarverNational Monument; or attend IowaStateUniversity, TuskegeeUniversity, or SimpsonCollege in Indianola, Iowa.
  4. Criteria used to award scholarship include: need, academic achievement and community involvement.
  5. If selected as a finalist, applicants may be asked to complete an interview with the scholarship committee.

The Carver Birthplace Association must receive your application and required support material by Thursday, April 14, 2011.

Please deliver or mail to: Carver Birthplace Association Attn: Krista L. Stark 5646 Carver Rd, Diamond MO 64840

Name:
First / Middle / Last
Telephone: / Email: / ______
Home address:
Street / City / State & Zip Code
Mailing Address
(if different)
Street / City / State & Zip Code
Name of parent or guardian:
Parent\Guardian address:
Street / City / State & Zip Code
Parent\Guardian phone:
Number of siblings at home: / Number of family members in college:
How do you plan to finance college?
Current college savings? / Projected annual income while in college?
Family college financial support? / Other college financial support?

What kind of financial aid have you applied for?

Name of current high school: / Graduation date:
Class Rank: / Grade Point Average: / ACT/SAT Composite Score:

What activities have you been involved in at your high school?

Offices or Honors received in high school?

What activities have you been involved with in your community?

What college do you plan to attend?
College / City & State
What are your fields of interest?
What is your planned major?
List three references, two of your references must be non family members:
Reference Name: / How long have you known this person?
Address:
Street / City / State & Zip Code
Phone:
Reference Name: / How long have you known this person?
Address:
Street / City / State & Zip Code
Phone:
Reference Name: / How long have you known this person?
Address:
Street / City / State & Zip Code
Phone:

The following items must be attached to your application to be considered:

  1. A personal statement not exceeding 3 pages which explains why you feel you should receive this scholarship and how receiving this scholarship might help you fulfill your educational pursuits and goals.
  2. Two letters of reference from non-family members.

Applicant’s Signature:______Date: ______

The scholarship winner will be determined by the George Washington Carver Birthplace Association Scholarship Committee.

A check will be issued to the qualified institution of higher education in the name of the recipient upon proof of enrollment.

Student’s Social Security Number will be required to process scholarship.