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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