2018 SCHOLARSHIP APPLICATION

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1 H.U. LEE MEMORIAL FOUNDATION 2018 SCHOLARSHIP APPLICATION Completed Application Checklist Please confirm that the following items are complete and attached to your application. Incomplete applications will be disqualified an ineligible for consideration. You must be a current member when the application is reviewed. You must provide an explanation for any unanswered questions. ATA Instructor s signature on application Photo: headshot or school photo: 4 x 6 or larger preferred. Official transcript with school s seal Proof of SAT and/or ACT scores Two letters of recommendation Essay Your application must be postmarked by February 15, LATE AND/OR INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. We are not responsible for lost and/or misdirected mail. Please to ensure receipt of application. Please submit your completed application to: H.U. Lee Memorial Foundation 1800 Riverfront Drive Little Rock, Arkansas Questions? All questions will be answered via at

2 APPLICANT INFORMATION PLEASE PRINT VERY CLEARLY, BLACK PEN IS PREFERRED. It is your responsibility to notify the Foundation if any contact information changes. FIRST: MI: LAST: PHONE: ( ) - ADDRESS: CITY: STATE: ZIP: FOR WHICH SCHOLARSHIP ARE YOU APPLYING? NATIONAL REGIONAL NOTE: If you are currently attending college as a full-time student, you are eligible to apply for regional scholarship. Please provide the information for the college you are attending, including your current cumulative GPA. Also, please note if you have previously been awarded a scholarship from the H.U. Lee Memorial Foundation. ARE YOU CURRENTLY ENROLLED IN COLLEGE? YES NO HAVE YOU PREVIOUSLY BEEN AWARDED AN H.U. LEE MEMORIAL FOUNDATION SCHOLARSHIP? YES NO If yes, when and how much were you awarded? DATE RECEIVED: AMOUNT AWARDED:

3 HIGH SCHOOL INFORMATION If you are currently enrolled in college, please provide your college information here. SCHOOL NAME: PHONE: ( ) - ADDRESS: CITY: STATE: ZIP: GRADUATION DATE: CUMULATIVE GPA (NON-WEIGHTED): Please note the following minimum GPA requirements: National Scholarship Regional Scholarship An official high school transcript with school s seal must be included with your application. SAT/ACT SCORE SAT SCORE: ACT SCORE: DATE TAKEN: DATE TAKEN: To be eligible for a national scholarship, you must have a minimum SAT score of 1600 before March 2016 (or a score of 1200 after March 2016) or ACT score of 27. Proof of your standardized test scores must be submitted with you application. To be eligible for a regional scholarship, you must have taken the SAT or ACT test and submit your score. THE H.U. LEE FOUNDATION RELIES ON DONATIONS TO SUPPORT ITS COLLEGE SCHOLARSHIP PROGRAM. HAVE YOU PARTICIPATED IN ANY FUNDRAISING EFFORTS TO BENEFIT THE FOUNDATION? YES NO Please explain: If so, how much was raised for the Foundation?

4 COLLEGE INFORMATION NAME OF COLLEGE YOU PLAN TO ATTEND: HAVE YOU BEEN ACCEPTED? YES NO IF NO, PLEASE EXPLAIN: ANTICIPATED START DATE: EXPECTED GRADUATION DATE: STATUS? FULL-TIME PART-TIME You must be enrolled as a full-time student to be eligible to receive a scholarship. TAEKWONDO INFORMATION NAME OF SCHOOL: SCHOOL NUMBER: REGION NUMBER: INSTRUCTORS NAME: YOUR ATA NUMBER: NUMBER OF YEARS ACTIVE IN TAEKWONDO: LIST TITLES AND/OR CERTIFICATIONS YOU HAVE EARNED (i.e. State Champ, World Champ):

5 APPLICATION QUESTIONS Please answer the following questions. You may attach additional sheets if necessary. Please list all extra-curricular activities you are involved in including clubs, sports, paid work, and volunteer work. Please include the length of time you participated in each activity. What do you plan to major/minor in and why did you choose this area of study? What s the most valuable piece of advice you would like to share with your peers?

6 APPLICATION QUESTIONS Describe the most important lesson you have learned while taking Taekwondo? Explain how any of the ATA life skills helped you develop into a better leader. ESSAY On a separate sheet, please answer the following question in 500 words or less: How have you used perseverance to overcome obstacles in your life? LETTERS OF RECOMMENDATION Please include two letters of recommendation form people who can attest to your character, such as a teacher, school counselor, or employer. One letter must be from your Taekwondo instructor. Recommendation letters from a parent will not be accepted. If your parent is a Taekwondo instructor, please provide a third letter.

7 AUTHORIZED SIGNATURES By signing below, I certify that all information provided is true and complete to the best of my knowledge. I do hereby assign all rights, privileges, and materials for reproduction to the H.U. Lee Foundation for any or all photographs taken of me by the Foundation/ATA of its recognized agents. I further grant the H.U. Lee Foundation/ATA the right to use my name and likeness in any publications and/or promotional materials, both in print and online at anytime during the application process. APPLICANT S SIGNATURE DATE GUARDIAN S SIGNATURE (if applicant is a minor) DATE I have reviewed and approve of my student s application for a scholarship from the H.U. Lee Memorial Foundation. I have reviewed the scholarship requirements and have verified that my student meets the minimum qualifications of the scholarship for which he/she is applying. INSTRUCTOR S SIGNATURE DATE

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