DISBURSEMENT OF AWARDS - Seminole County Public Schools



Lyman Seniors ONLY Due 3/29/2019 3 P.M. at the Lyman Student ServicesCarlton Henley Scholarship - $500Sam Momary Scholarship - $500 Bill Scott Scholarship - $500APPLICATION FORMAT AND SUBMISSIONApplication Process: Enclose the following items in the EXACT order listed below, in a large manila envelope. Official high school transcript of grades 9 through 12 (in a separate sealed envelope from Guidance);Completed Student Portfolio; Please respond to the following, using a separate sheet of paper. Number your responses A - D as shown below.Statement of Financial Need:Include information you would like the Committee to consider, such as number of dependents in the home, occupation(s) of parent(s), family income, etc. You are encouraged to submit copies of the most current income tax return or other verification of household income, but this is not required. All information is confidential. If parental assistance is not available, how do you intend to finance your education? Explain why you need financial assistance to continue your education. School Activities/Recognition/Honors:Academic, athletic, vocational, and extracurricular; including leadership munity Activities:Clubs and organizations, volunteer services, church/synagogue/mosque, etc.Employment Experiences:Employers, length of employment and job description. An Essay to share your Education and Career Goals; In a 200-500 (maximum) word typed essay, describe future goals, including the field in which you intend to major. The essay is weighted heavily in the judging process. In the event of applications with similar qualifications, the essay will be the determining factor.Personal Reference (Recommendation from a high school staff member or counselor): Evidence of college acceptance or processing;Attach Information Page on the page 2.DISBURSEMENT OF AWARDSThe recipient must use the award within one year of issuance. A check in the amount of the award shall be disbursed to the educational institution that the student will attend (unless otherwise noted). In the event the recipient decides not to use the scholarship, he/she must notify The Foundation for Seminole County Public Schools immediately. Selection of the winners is final.*** Please type or print information. *** Due 3/29/2019 3 P.M. at the Lyman Student Services Student InformationName:Age:Last FirstMiddleAddress: _______StreetCity Zip Telephone: County: _____Email Address: School: _______________ Guidance Counselor: Telephone:Cumulative GPA SAT Score ACT Score Schools to which you have applied:_____________________________ Accepted? _____________________________________ Accepted? ____________________________________ Accepted? _______Florida School You Plan to Attend:Field of Study:Family InformationFather:______Address:Street City State ZipEmployer: Position:Mother:Address:Street City State ZipEmployer: Position:Parents: MARRIED: _______DIVORCED: _______Dependents living at home:BROTHERS/SISTERS: __________________________________________ AGES: _____________OTHERS: ____________________________________________________ AGES: _____________Have you applied for/received other financial aid or scholarships? (Circle one)YES NO List: ____________________________________________________________________Are you eligible for the Bright Futures Scholarship?(Circle one)YES NOHave you already received financial aid? (Circle one) YES NO Amt. received: $_________X____________________________________________________________________Signature of Applicant (Mandatory)DateX _______________________________________________________________Signature of Parent/Guardian (Mandatory) DateNotificationThe scholarship recipients will be notified by his/her school administration after all applications are reviewed by the committee.NOTE: This information is considered confidential and will not be released without your written permission. If you are selected to receive a scholarship award, please sign here to give The Foundation for Seminole County Public Schools permission to honor you on our website by publishing (1) your name, (2) high school attended, (3) name of institution where you plan to continue your education, and (4) your intended field of study.X ___________________________________________ _________________Student Signature Date ................
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