THE HARWOOD JUNIOR HIGH SCHOOL PTA
JAY HENDRICKSON MEMORIAL SCHOLARSHIP APPLICATION
The completed application form, essay, letters of recommendation and your official transcript must be submitted to your counseling office no later than Tuesday, March 22nd, 2016.
Purpose:
Jay Hendrickson was to be a 7th grade Harwood Junior High student when he passed away from bone cancer in September of 2002 at the age of 12. Jay attended Spring Garden Elementary and was an avid basketball player. This scholarship honors Jay’s positive attitude, his special friendship with fellow students and teammates, and his enduring spirit in the face of adversity. One Jay Hendrickson Memorial Scholarship in the amount of $500 will be awarded for 2016.
Scholarship Criteria:
· Must have attended Harwood Junior High School during the 8th and 9th grades and either Trinity High School or L. D. Bell High School for Sophomore, Junior and Senior Years.
· Must graduate from Trinity High School or L. D. Bell High School.
· Shall have demonstrated positive character traits and good citizenship through school, community, athletic, religious, and/or other related activities or organizations.
· Must have maintained an academic standard in line with college/university acceptance. The recipients may attend any trade school, junior college, college or university of her/his choice.
· Financial need will be considered a factor, but will constitute only one consideration. Extracurricular activities will also be considered, but will constitute only one consideration, as well. The dollar amount of the award will be paid directly to the college or Institute of higher learning (recipient’s choice) at the time of registration or to the recipient upon proof of payment signed by the college or institution.
· Must provide a minimum of two (2) letters of recommendation from a teacher, administrator, employer or religious/civic/community leader.
· The scholarship must be secured within one calendar year from the time of high school graduation.
· The recipients, upon advance notification, are requested to be in attendance at the designated meeting of presentation to help honor Jay’s memory.
· The spirit of this award is not consistent with a recipient who has been awarded a full scholarship. Disclosure of such an award is required.
JAY HENDRICKSON MEMORIAL SCHOLARSHIP APPLICATION
APPLICANT INFORMATION
Print or Type
Name: ______
Address: ______
Street Apt.# City State Zip
Phone number:______Years at Harwood ______
Father/Guardian Full Name______
Occupation______Company Name______
Mother/Guardian Full Name______
Occupation ______Company Name______
Address of both parents/guardians if different from address listed above.
______
______
Names and Ages of Other Children In Family:
______
______
Do you have a sibling(s) currently enrolled in college? Yes____ No____
If yes, list college(s) they are attending and entry date ______
______
Check sources that will contribute to your financial support in college:
Work___ Loan___ Family support___ Other(detail)______
Have you been awarded any other scholarships?______If so, what benefits will you receive from them?______
Counselor’s Name:______Student ID Number ______
Counselor’s signature for verification: ______
High School Organizations And Community Service
Please list all activities (clubs, athletics, student government, scouts, church, community related)
Name of Activity Yrs of Participation Office held/Awards
Education Plan
To which vocational schools, colleges or universities are you applying, and why?
Work Experience
Job Employer Dates Employed Hrs. per week
Essay
In your own words, please attach a typed essay (not to exceed 500 words) which will allow the selection committee to gain some insight about you. Please include:
a) a personal “glimpse” of you (hobbies, family, obstacles/accomplishments in life, etc.)
b) how you would like to make use of the award
c) educational goals
d) projected or ultimate career goal
e) apart from its monetary value, why might this particular award be meaningful to you?
f) how do you feel your life and future goals adhere to the spirit of the person for whom this scholarship memorializes.
Letters of Recommendations
Include a minimum of two (2) letters of recommendation from a teacher, administrator, religious or civic leader, or community member (letters from a variety of sources are preferred).
Transcript
Include your most recent official high school transcript with the application.