MARYLAND HOUSE OF DELEGATES SCHOLARSHIP …



THE MARYLAND HOUSE OF DELEGATES

Delegate C.T. Wilson The Maryland House of Delegates

28th Legislative District 6 Bladen Street, Room 410

Charles County Annapolis, Maryland 21401

Tel: 410-841-3325 Fax: 410-841-3367

301-858-3325 CT.Wilson@house.state.md.us

January 12, 2020

Delegate Scholarship Application

Dear Student;

Enclosed you will find the Delegate Scholarship application you requested. To be eligible, you must meet the following criteria:

1) Be a resident of Charles County Maryland (District 28 residents only);

2) You must attend or plan on attending a Maryland college or university or have your academic major approved “Unique” by the Maryland Higher Education Commission if you attend an out of state school.

3) File an application for Federal Student Aid (FAFSA) between Jan. 1 and Mar. 1, 2020;

4) Apply for admission to a Maryland college, university or other accredited post-secondary educational program as a full-time or part-time student.

You must also, complete a FULL (1) ONE PAGE ESSAY outlining why you feel you should receive this scholarship and submit OFFICIAL transcripts of your grades. These items MUST be forwarded with the completed application in order to be considered by the scholarship committee. Please return to the above name and address no later than MONDAY, MARCH 30, 2020. APPLICATIONS MUST BE RECEIVED IN OUR OFFICE BY THE CLOSE OF BUSINESS ON MARCH 30, 2020, (NOT POSTMARKED BY

MARCH 30, 2020). NO EXCEPTIONS. PLEASE DO NOT RELY ON 2 DAY OR NEXT DAY MAIL AFTER MARCH 25th, 2020 due to late deliveries from our in house mailroom. Any applications found to be incomplete, out of district or submitted after the deadline will not be considered, so please complete ALL fields on the application.

We wish you the best in your endeavor to pursue a higher education!

Sincerely,

C.T. Wilson

C.T. Wilson,

28th Legislative District; Charles County, MD

MARYLAND HOUSE OF DELEGATES SCHOLARSHIP APPLICATION

**Information provided below is for the use of the Scholarship Committee in considering your application.

It will be kept confidential. Please return this application with an official transcript and an essay to: Delegate C.T. Wilson, 6 Bladen Street, Room 410, Annapolis, MD 21401.

NAME: ____________________________________________________________________________________

DATE OF BIRTH: __________ TEL #: (____) ____-_____ SOC. SEC #: _____-____-_____

ADDRESS: ___________________________________________________________________

CITY: _____________________________ STATE: _______________ ZIP: ______________

LENGTH OF RESIDENCY AT CURRENT ADDRESS ___ U.S. CITIZEN: yes: __ no: __

EMAIL: ___________________________________________

I am a legal resident of Maryland Legislative District 28 and would like to be considered for a House of Delegates Scholarship to attend:

(Name of Institution)_________________ __________.

I will enter school in September 20____ as a:

(Check one) Freshman ____; Sophomore____; Junior ____; Senior ____; Graduate ____.

I will be a ______full-time student or a _______ part-time student.

I graduated from, or will graduate from ____________________ in _______ of 20______.

Degree or Major you will pursue: (1) .

***** You must attend a Maryland school or to receive this scholarship to attend an out of state school, you must have your academic major approved “Unique” by the Maryland Higher Education Commission. *****

List number and ages of your dependent children or N/A: ______________________________

List other financial aid you have accepted or expect to receive: ______________________________

Indicate the number of students attending college/technical schools in your household (including yourself)?

Indicate Family’s yearly Income: $ Total Number of Dependent Children in Household: List special financial burdens or expenses:

(Students Signature) (Date)

(Parent/Guardian Signature) (Print Parent/Guardian Name)

(Parent/Guardian Signature) (Print Parent/Guardian Name)

*All Fields Must Be Completed*

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