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1 $1000 Scholarship The Northwest Mississippi Association of Realtors would like to announce their 2019 Scholarship Program. Once again, we will be offering graduating seniors in Desoto, Tate, Tunica, and Marshall Counties the opportunity to be awarded one of 15 - $1000 scholarships. Each student must submit a completed application and participate in the interview phase to be eligible. If you have the desire to continue your education and are in need of financial help, take advantage of this wonderful opportunity. Applications will be sent to all area high school counselors and will also be available directly from our Board of Realtors. The deadline for application submission is March 15, Don t miss this opportunity!! Now is the time to prepare for your future and let the realtors in your area help you!! Let us know why you should be the one to receive one of these great scholarships!! For more information, contact:

2 2019 ENTRY FORM Northwest Mississippi Realtor s Scholarship Program SCHOLARSHIP APPLICATION ($1000 Scholarship 1 Year - $1000 for the Fall Semester, 2019) PERSONAL: Please attach a current photo to your application. Name Address Street City State Zip Code Phone: Home Parent Cell Cell Social Security Number (Needed so that money can be sent to college/university attending) College You Plan to Attend Have you been accepted? Have you committed? Name of High School High School Address School Telephone Number Please List Other Scholarships that you have applied for: Please list other scholarships that have been awarded to you:

3 ACADEMIC INFORMATION This information is to be completed by the applicant s principal or counselor ACT Score SAT Score GPA Class Rank (Be sure to attach a copy of the most recent high school transcript) This is to certify that I have known for at least one semester. From this acquaintance and association, I certify that (he) (she) is of good moral character. I further testify that the applicant has shown a definite interest in furthering (his) (her) education and would be deserving of this award. (ALL SIGNATURES ARE REQUIRED) Are you related to a Realtor? Yes No If yes, please state your relationship Principal Guidance Counselor Teacher Teacher I certify that all information contained in this application is correct. Date Signature of Applicant Signature of Parent or Guardian Please submit at least one letter of recommendation from a non-family member with this application. Please note any Honor s classes that applicant has taken and completed:

4 INTERESTS AND ACTIVITIES List any clubs, organizations, community or church activities in which you have participated, number of years involved, offices held or recognitions received: Work Experiences: Are you currently employed? YES NO If yes, what type of work and how many hours per week? List any previous jobs you have held: Describe your other work activities (such as family farm, helping at home, family business, etc.) Tell us your favorite subject and why: HONORS AND AWARDS Please list any awards that you have received and the year that they were awarded:

5 STUDENT PERSONAL INFORMATION Financial Need: In the space provided, please indicate your family s adjusted gross income from last year s tax returns Under $25,000 $50,000 - $75,000 $25,000 - $50,000 Over $75,000 Total number of family members living at home Number of dependents in your parent s family including yourself Children: Ages: # Attending College (include yourself in this number) Other financial considerations that need to be noted: How do you plan to fund your college education? In 150 words or less, tell the Scholarship Committee why you should be considered to receive one of these scholarships. (please attach your remarks to this application). DEADLINE IS March 15, 2019 RETURN COMPLETED APPLICATION WITH A PHOTO TO: (Incomplete applications will not be considered) NORTHWEST MISSISSIPPI ASSOCIATION OF REALTORS SCHOLARSHIP COMMITTEE P. O. Box 7 Nesbit, MS 38651

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