Deadline April 28, 2014

THOMAS H. GROVES MEMORIAL SCHOLARSHIP

Scholarship Requirements

•  A Senior planning to major in: Nursing, Neurology or Special Education Teaching

•  Must have a 3.0 GPA or higher

This is a one-time only scholarship of $1,000 to a Senior pursuing post-secondary education at a recognized college, university, or vocational school.

Please complete the following form.

Name

Address

Telephone Number

Name of college or institution you plan to enter

Course you plan to take

1. Why should you be the recipient of this scholarship?

2.  List any other forms of financial aid or scholarships you will be receiving.

3.  Why do you need this scholarship?

4.  What are your career goals?

5.  Thomas H. Groves was a special needs student who strongly needed nursing care and a good Neurologist throughout his 11 ½ years as well as loved his Special Education Teachers in order to improve his life. He also loved playing baseball with the help of his buddies. Give specific examples of how you have helped others improve during your high school years. (may be school, church or community related)

6.  Overall GPA:

7.  Could you and your parents be available for an interview? __ Yes __ No

PLEASE SUBMIT A WALLET-SIZED PHOTO WITH THIS FORM. FAILURE TO INCLUDE ALL OF THE ABOVE INFORMATION WILL VOID THIS APPLICATION.

Signed

Date