1. Applicant Must Have at Least a 2.8 Grade Point Average

TM JESSIE AND OLLIE JOHNSON MEMORIAL

SCHOLARSHIP FUND

PURPOSE: To provide scholarships to high school graduating seniors interested in furthering their education at a two year college or four year university.

AWARD COMPONENTS: One $1,000 scholarships will be awarded to a graduating senior selected by the Jessie and Ollie Johnson Memorial Scholarship Committee.

CRITERIA:

1. Applicant must have at least a 2.8 grade point average.

2. Applicant must be a graduating high school senior from Thomasville High School and legalU.S. resident.

3. Applicant must be a full-time college/university freshman in the coming academic year.

4. Applicants will be chosen based on academic performance, activities, achievements and financial need.

APPLICATION PROCESS: (APPLICANT MUST SUBMIT)

Completed application form (part I of the application may be handwrittenhowever part II and III must be typed. Applications that are not typed(required sections and/or incomplete applications will not be processed).
Two letters of recommendationfrom the student’s high school teacher,administrator, former employer, clergy, or coach (NO FAMILY MEMBERS OR FRIENDS).
A complete high school transcript with cumulative grade point averages.

Deadline for application is April 25, 2017. Applications received after this date will not be considered. Completed application packets should be returned to your guidance counselor.

*Should any of the chosen recipients of the scholarship fail to attend a college or university the following fall term, then the applicant who was judged as an alternate will receive the award if he or she has enrolled in a college or university (confirmation of college or university enrollment along with proof of satisfactory academic progress will be requested prior to receiving the award).

TMSTUDENT APPLICATION

PART I

Please read this form carefully and answer each question completely. Your application will not be processed if all of the questions are not answered in full. Mark N/A for items not applicable.

Personal Data

Full Name______

Address______Telephone#______

City/State______Zip______

Email Address______

EDUCATIONAL INFORMATION

High School______

______

City State Zip

______

Applicant’s Signature Date

By signing below I give BRIDGE permission to use my photo on its website and on any of its print materials, if I am chosen as a recipient of the Jessie and Ollie Johnson Memorial Scholarship.

______

Applicant’s Signature Date

TMSTUDENT APPLICATION

PART II (This section must be typed on a separate sheet)

Where do you plan to attend college?______

If undecided please list the colleges you have applied to ______

______

Have you currently applied for admission?______

Been accepted?______

Proposed major?______

What is your cumulative grade point average?______

Activities and Organization

Please list activities/organizations in school and outside of school. Indicate offices held and accomplishments while in office.

HONOR/AWARDS

Please list.

WORK EXPERIENCE

Include both paid and volunteer work experience and job duties performed.

PART III (This section must be typed on a separate sheet)

Please write a statement discussing your educational and career goals, financial need, and why receiving this scholarship is important to you.

TM Jessie and Ollie Johnson Memorial Scholarship Fund

Scholarship Recommendation

TO BE COMPLETED BY STUDENT:

Name______Email Address ______

Phone Number ______

Mailing Address______

street city state zip

This completed form is due by______Please return to:______

TO BE COMPLETED BY PERSON MAKING RECOMMENDATION (employer, teacher, coach, clergy, etc. NOT family or friend) :

• Length of time you have known applicant: ______Years ______Months ______

• In what capacity do you know applicant (i.e., teacher, advisor, employer, etc.)? ______

• We are seeking information about qualities related to the applicant’s potential for success in the major/career goal listed above. Please rate the candidate below and make any additional comments you desire.

Check appropriate Column for Each Item Below / Superior / Above Average / Average / Fair / Poor / Unable to Judge
Ability to Present Ideas
Work Habits
Leadership
Enthusiasm
Cooperation
Resourcefulness
Initiative
Dependability
Adaptability
Potential for Success

• Comments (You may use additional sheet)

• Recommendation completed by:

______

printed name signature date

*Please return this form with your completed application.

TM Jessie and Ollie Johnson Memorial Scholarship Fund

Scholarship Recommendation

TO BE COMPLETED BY STUDENT:

Name______Email Address ______

Phone Number ______

Address______

street city state zip

TO BE COMPLETED BY PERSON MAKING RECOMMENDATION (employer, teacher, coach, clergy, etc. NOT family or friend) :

• Length of time you have known applicant: ______Years ______Months ______

• In what capacity do you know applicant (i.e., teacher, advisor, employer, etc.)? ______

• Comments (You may use additional sheet)

• Recommendation completed by:

______

printed name signature date

*Please return this form with your completed application.