SIMPSON MEMORIAL SCHOLARSHIP
Mrs. J. Lupton Simpson established a Memorial Scholarship Fund to provide financial aid to students who will attend college. The number and amount of the scholarships will be determined upon the market value of the scholarship fund assets. These scholarships will be awarded on a one-time only basis.
Prospective recipients of the Simpson Scholarships must be recommended to the Simpson Scholarship Selection Committee by the faculty and administrative staff of the two high schools.
To be eligible for this scholarship a student must:
- be a graduate of LoudounCountyHigh School or LoudounValleyHigh School,
- have attended a LoudounCounty public school and been a resident of Loudoun for at least two years prior to graduation,
- be accepted in a freshman class of a fully accredited college or university,
- have shown high scholastic achievement in high school,
- have demonstrated high standards of character and citizenship, and
- have demonstrated a need for financial aid to pursue a post-secondary education. Include at copy of FAFSA or SAR.
- not be a member of the immediate family of any full time employee of the Trustee or any member of the Selection Committee.
Students who wish to be considered for the Simpson Memorial Scholarship must complete and return the attached application form to their Guidance Office by April 11, 2012.
Simpson Memorial Scholarship — Number of Scholarships to be Determined by the Trustee Based upon the Market Value of the Scholarship Fund Assets
Criteria:High school seniors attending LoudounCounty or LoudounValleyHigh School
Have attended a LoudounCounty public school for at least two (2) years prior to graduation
Demonstrate the need for such financial aid to pursue a post-secondary education
Shown high scholastic achievement in high school
Demonstrated high standards of character and citizenship
Must submit a coy of FAFSA or SAR
Cannot be a member of the immediate family of any full-time employee of the
Trustee orany member of the selection committee
Selection:Recipients will be chosen by a Scholarship Selection Committee based on academic achievement, financial need and potential to succeed in the student’s chosen educational field.
Deadline:April 11, 2012
SIMPSON MEMORIAL SCHOLARSHIP
APPLICATION FORM
**Please complete in blue or black ink or type. Additional pages may be attached. A transcript is available from your guidance office and must be attached to this application.
Social Security #______
Applicant's Full Name
Country of Citizenship
Date of Birth Phone
Parent(s) or Guardian(s)
Address
Accepted by (colleges or universities)
(To be filled in by counselor): Class Rank______GPA______
Scholastic Honors
Extra-curricular Activities (include number of years and offices held)
Community Activities (include number of years and offices held)
Please reply to the following questions in essay form. Use the other side of this sheet if necessary.
Describe your planned course of studies and educational goals and tell why you have selected this field:
Explain why you need and will benefit from the Simpson Memorial Scholarship:
FINANCIAL STATEMENT
I. Student Employment (Includes full or part-time during the last two years):
EmployerType of WorkEmployedWeekly
From ToEarnings
Amount you have saved toward higher education
II. Family Income
Occupation Annual Income
Father
Mother
*Other
Total Family Income
*Specify by source, such as Social Security, Veteran's benefits, income of other family members, or investment income.
Copy of FAFSA (Free Application for Federal Student Aid) or SAR (Student Aid Report) must be submitted with this application.
III. Estimated Expenses for one school year:
Tuition & Fees Transportation
Room & Board Clothing
Books & Supplies Laundry
Medical, incl. Insurance Other
Total Estimated Expenses
IV. Expected Financial Resources (per year):
From Family From Other Scholarships
From Earnings From Contributions
*From other Sources
Total Expected Resources
*Specify by source, such as trust funds, insurance, etc.
V. Other Dependents in Family
Name AgeIf student, name of school
______
______
______
I/We declare the information in this application and financial statement to be true and accurate, to the best of my/our knowledge.
______
Signature of Student Signature of Parent(s) or Guardian(s)
I authorize the release of transcript to the Scholarship Committee so that he/she may be considered for this scholarship.
______
Signature of Student Date Signature of Parent if student is Date
(If student is under 18 years of age)