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1 ~~ ~ ~V(,emoria/~ cgofar6/i'i"1!1 ~ I CI- t '~TOm rinevi'!1 to ri;iw'!1 " t I ~ Studen,t Application Form 2016, ~,. t Applieation Due Date: April 1, 2016 ~ The Vernessa Frasier Moore Memorial Scholarship ~ P. O. Box ~ ~ North Charleston, SC ~ ~ For more information, Contact: ~ ~ Ylonda N~ro-Anderson, President ~ ~ Zelda Rouse, Vice President ~

2 ~ About the VFM Scholarship.. :... ~ ~ The Vernessa Frasier Moore Memorial Scholarship will be awarded to high school seniors who live in ~ Charleston County or the surrounding areas, and will be pursuing post-secondary education in the field of ~ early childcare and/or medicine/health care. ~ Students enrolled in either public or private schools, as well as home schooled students, are eligible to ~ apply. To apply, submit a complete application, two letters of recommendatiqn from your teachers, ~ ~ employers, ministers or social workers, an official school transcript, and a word essay on a ~ separate sheet of paper attached to your scholarship application, answering the essential questions: ~ ~ First Experiences can be defining. Explain a first experience that you have had, its impact on you, and ~ how it has influenced you to pursue a career in the healthcare or teaching system. ~ ~Is there someone who encouraged you or an event in your life that sparked your interest in the medical or ~ ~ teaching field? ~ ~ ~What medical specialty would you make the focus of your career? How do you think you can improve ~ t teaching? t Deadline for application and essay is April 1, Please submit your application, letters of t recommendations, an official school transcript, and essay to Vernessa F. Moore Memorial Scholarship, t P. O. Box 72287, N0rth Charleston, SC t Scholarships will be awarded based on three criteria: 1.) Need; 2.) Clear goals and initiative demonstrated ~ through academic career and essay, and 3.) Grade Point Average (2.5 or higher). ~ Award finalists and scholarship amounts will be determined by a panel from the Vernessa F. Moore t Memorial Scholarship Fund in May;: Recipients will receive notice that they have been awarded the t scholarship at their high school's annual award ceremony. t t Once notified of their award, scholarship recipients can receive their disbursement check by sending a copy t of their fall tuition bill along with their name, address, and phone number to Ylonda Nero, P. O. Box 72287, t North Charleston, SC t.

3 ~ The Vernessa Frasier Moore Memorial Scholarship ~ ~ Student Application Form ~ ~ Name ~ ~ Phone ~ ~ Address ~ ~ City State Zip Code ~ ~ High School ~ Date of Graduation Where ~ Mother's Name Occupation ~ ~ Father's Name Occupation ~ ~ If you have a step-parent or guardian (CIRCL ONE) in which you live with, answer below: ~ ~ Name Occupation ~ ~ Name and ages of your brothers and/or sisters that your parents, step-parents or guardians ~ ~ support in your home and list if any are attending college currently: ~ Any family circumstance you care to note?, ~ Page 2 ~.

4 \ ;: The Vernessa Frasier Moore Memorial Scholarship v ;: ;: Student Application Form ;: ;: What other scholarship have you applied for and amounts? ;: ~ Please list any school activities that you are involved in: \ ~ Please list any community or church activities that you are involved in: ~ Additional comments may be attached. Your signature below indicates your permission to ~ ~ the foundation to use your senior picture and excerpts from the application in publications. ~ ~ I certify all fact contained in this scholarship application are true and correct. The Vernessa ~ ~ Frasier Moore Memorial Scholarship is hereby authorized to verify any information ~ ~ contained in this application. I understand that any falsification or misrepresentation will ~ ~ result in disqualification. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED ~ t (Signature of Student) (Signature of Senior Advisor/Counselor) ; ; (Date) (Date) ;

5 ~ ::a $ ramer cere ~ ~ :1V(emoritl/~cJi'olar.,Gi"l!l i Gf- $ ''t'rom!i;rievltij to '!i;i-vinj 11 $.. ",' '" Assemble your application packet in the following order and use this as your checklist: The Vernessa Frasier Moore Memorial Application Form ; The Student's Essay ~ ; Letters of Recommendation. Letters of recommendation may not be written by ~ ~ the applicant, or anyone relatedjo_youof-serving as your legalguarctian--aphone! n ; number must be included for each person providing a recommendation. ~ t An Official School Transcript ~

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