Taylor B. Tumblin FoundationScholarship Fund

P.O Box 4 , Melrose, OH. 45861

E-mail:

Taylor B. Tumblin Foundation – Scholarship Fund

This fund was established by the Taylor B. Tumblin Foundations in order to help students achieve a higher education. We understand the importance of having efficient nurses and intervention specialists to help people that aren’t always able to help themselves. There will be one $1,000 scholarship awarded for the 2015-2016 academic year. If you have any questions please e-mail .

Eligible Applicants:

This scholarship is only eligible to those pursuing a degree in Nursing or Intervention Specialists (Special Education). The winning applicant will be contacted in the end ofMay to find out that they were selected for this scholarship.

Applicant Information:

Applications must be turned into your guidance counselor no later than April 15th , 2016.

Criteria for evaluation:

The criteria used for evaluation are: essay, G.P.A, activities and letters of reference.

PART I – APPLICANT INFORMATION

Full Name: ______

Address: ______

Phone Number: ______Birth Date:______

GPA: Must have a G.P.A. of 3.0 - 4.0 to be eligible, ______

What college do you plan to attend? ______

Have you been accepted to this school?______

What is your intended course of study? ______

PART II - ACTIVITIES

  1. OTHER SIGNIFICANT EXPERIENCES – Please list community activities, church activities, and anything that you’ve accomplished that you feel is relevant to your intended course of study:______

______

  1. WORK EXPERIENCE - If you currently hold a job, please list where you are employed and the average number of hours you would work per week.

Employer: ______

Hours per week: ______

PART III - ESSAY

On a separate piece of paper, typed, please list your future plans and goals. Who/what has influenced your decisions and what you have done so far to help you attain your goals. Also, please tell us why you deserve this scholarship over other applicants.

PART IV - REFERENCES

Please list the persons who have agreed to write recommendations for you for the Taylor B. Tumblin Foundation Scholarship. You must have 2 references, each reference must fill out a form and that form must be given directly to the guidance counselor in a sealed envelope. You are NOT allowed to see what is written about you. The person must not be in anyway related.

______

(Name)(Phone)

______

(Name)(Phone)

In behalf of my application for a Taylor B. Tumblin Foundation Scholarship, I

hereby waive my right to read the references provided to the Scholarship

Committee.

______

(Signature of Applicant)

______

(Date)

Taylor B. Tumblin Foundation

Applicant’s Personal Reference Form

______has applied for a Taylor B. Tumblin Foundation Scholarship and has given your name as a reference. Your candid opinion of the applicant’s suitability for consideration for this scholarship will be appreciated. All information will be will be kept strictly confidential by the Taylor B. Tumblin Foundation Scholarship Committee. Please fill out this form and give it to the guidance councilor by April 15, 2016.

  1. How long have you known the applicant? ______
  2. In what capacity have you known the applicant? ______

If employer:

Dates of employment:______

Position:______

Work Record:______

  1. What qualities does this student possess that would cause you to recommend him/her for this scholarship? ______
  2. Additional remarks: ______

Signature: ______Date:______

Position: ______

Taylor B. Tumblin Foundation

Applicant’s Personal Reference Form

______has applied for a Taylor B. Tumblin Foundation Scholarship and has given your name as a reference. Your candid opinion of the applicant’s suitability for consideration for this scholarship will be appreciated. All information will be will be kept strictly confidential by the Taylor B. Tumblin Foundation Scholarship Committee. Please fill out this form and give it to the guidance councilor by April 15, 2016.

  1. How long have you known the applicant? ______
  2. In what capacity have you known the applicant? ______

If employer:

Dates of employment:______

Position:______

Work Record:______

  1. What qualities does this student possess that would cause you to recommend him/her for this scholarship? ______
  2. Additional remarks: ______

Signature: ______Date:______

Position: ______