WEATHERFORD CHAPTER, DAR - Millsap ISD
WEATHERFORD CHAPTER
Daughters of the American Revolution
SCHOLARSHIP APPLICATION FORM
(Must be Postmarked by March 1, 2017)
A. Assemble all letters and documents; mail this application form to:
Aelanda Counts
2124 Lexie Lane
Azle, Tx. 76020
(817) 874-8062
B. In order for application to be considered, all of the following must be included:
(1) Official Application form (may be typed or printed neatly)
(2) Autobiography composed by the applicant (500 words or less)
(3) College entrance test score results (High School Transcript not required)
C. Please provide the following information:
(1) Today’s Date___________________________________________________
(2) Applicant’s Full Name___________________________________________
(3) Home Address_________________________________________________
__________________________________________________________________
(4) Telephone Number______________________________________________
(5) Mother’s Name & Address________________________________________
__________________________________________________________________
(6) Father’s Name & Address_________________________________________
__________________________________________________________________
(7) High School Attending: __________________________________________
(8) Class Rank__________________ Class Size_____________________
9) Accumulated Grade Point ______ on _______ Point System
10) SAT/ACT Score(if applicable)___________________________________
(11) National Merit Scholarship Scores (if applicable)______________________
_________________________________________________________________
(12) Test scores other than these? (Please identify.)________________________
__________________________________________________________________
(13) List school and outside activities, along with the organization’s name in which you have participated. If an office was held, please indicate. If you are working part-time while attending school, please give details. (Additional sheet of paper may be attached if needed.)
________________________________________________________________________
________________________________________________________________
(14) Do you plan to be a full-time student? _____YES_____NO
(15) When do you plan to register at Weatherford College?
_____SUMMER or _____FALL
If you are not enrolling at Weatherford College, what school do you plan to attend: (Remember, preference is given to Weatherford College)
Name of School_____________________________________________________
School Address_____________________________________________________
(16) Are you or anyone in your family a member of the Daughters of the American Revolution? _____YES_____NO
If yes, Name_______________________________________________________
Chapter___________________________________________________________
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