SILAS CARNEAL JONES SCHOLARSHIP FUND
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1 SILAS CARNEAL JONES SCHOLARSHIP FUND The Silas Carneal Jones Memorial Scholarship Fund is dedicated to the memory of Silas Carneal Jones, a 20- year-old college student at the University of Central Arkansas who was killed in an auto accident on November 16, Carneal s parents, Octavia Moore (step-father, Wadie Moore) and Neal Jones, along with the Silas Carneal Jones Foundation and Little Rock Parkview High School want his memory to live on by continuing with the second annual Silas Carneal Jones Memorial Golf Tournament, which is held in-conjunction with the seventh annual 3-on-3 Youth Basketball Tournament. The Foundation has awarded 15 scholarships since 2007, which included four $500 scholarships last spring. The format for the golf tournament is a four-man scramble, and it will be held at Stone Links Golf Course in North Little Rock, Arkansas on Friday, March 16 th. The 3-on-3 basketball tournament will be held at Fuller Middle School on Saturday, April 7 th. The Fund has been established to encourage others to follow in Carneal s footsteps by living a rich-filled Christian life, love for all mankind, an open heart to all and that desire to make life better at home, church and throughout the community. The Foundation is administered by a committee consisting of members of Carneal s family, church and friends. The proceeds from the tournament will go to make a Scholarship Endowment a reality for senior high, college-bound students each year. The Foundation thanks you in advance for any media attention to this event. If additional information is needed, please contact Wadie Moore at or Application forms for (1) the golf tournament, (2) the 3-on-3 youth basketball tournament and (3) the scholarship form are also posted online.
2 Silas Carneal Jones Memorial Golf Tournament Stone Links Golf Course, March 16, 2012 The first annual Silas Carneal Jones Memorial Golf Tournament will be held Friday, March 16, 2012 at Stone Links Golf Course, 110 Highway 391 North, North Little Rock. Purpose: This tournament is to provide financial support to the Silas Carneal Jones Memorial Scholarship Foundation, which is in its fourth year. Thanks to community support The Foundation has issued eight scholarships to high school seniors. The format is a four-person, 18-hole scramble. The tee time is 8:30 a.m. Lunch will be served after completion of the tournament. Registration is set for 7:30 p.m. There is a $75.00 green fee, which includes cart and lunch. Prizes will be awarded by flights. The tournament is limited to the first 120 golfers. Please fill out the form below and return as soon as possible. REGISTRATION SILAS CARNEAL JONES MEMORIAL GOLF TOURNAMENT (Please Complete) Preferred Golf Partners Contact Person 1. Name 2. Address 3. City/St./Zip 4. Day Phone (If paying for the entire group please include all names of participants Fee $75.00 each) *Sorry, I am unable to attend but enclosed is a tax deductible donation of DEADLINE: Friday, March 9, 2012 Please make check payable and mail to: Silas Carneal Jones Memorial Foundation Please mail to: Wadie Moore 6611 Woodfield Road Little Rock, AR For additional information contact Wadie Moore at
3 Age brackets for teams (4 members/team Fee Free) ALL PROCEEDS FUND THE SILAS CARNEAL JONES MEMORIAL SCHOLARSHIP
4 Silas Carneal Jones Memorial 3 on 3 Basketball Tournament Saturday April 7, 2012 at Fuller Middle School Gym, 8:30 A.M. *Boys & Girls Divisions, Ages: 6-8, 9-11, 12-15, * Must be division age as of first date of event Fee: Free Donations are accepted * Four Members per team * Double Elimination * Officials * Memorabilia* Awards: Winning teams receive medallion and invitation to the scholarship luncheon There will be refreshments available to be purchased and random raffle drawings Assumption of the Risk, Release, and Waiver of Liability is Attached REGISTRATION Mail form to: Carneal Jones Memorial Scholarship Fund 6611 Woodfield Road Little Rock, AR Please make checks payable to: Carneal Jones Memorial Scholarship Fund For additional info. Call * Each participant must have his or her parent or guardian sign the application. You may not sign for anyone other than your own child. Deadline: Applications must be in by March 26 th REGISTRATION FORM Team Name: Division: Male: Female: 1. Team Member Age: Date of Birth: 2. Team Member Age: Date of Birth: 3. Team Member Age: Date of Birth: 4. Team Member Age: Date of Birth:
5 ASSUMPTION OF THE RISK, RELEASE, AND WAIVER OF LIABILITY Team Name: As consideration for the opportunity to participate in the Silas Carneal Jones Three-on-Three Basketball Tournament I acknowledge that I have read the following and voluntarily agree to its terms and conditions: I understand and agree that my use of the property, facilities, equipment, and/or services at the Gymnasium and/or my participation in the Tournament is strictly voluntary. I acknowledge that I have the physical ability, skills, qualifications, and training necessary to properly and safely use the property, facilities, equipment, and/or services of the Gymnasium and/or to participate in the Basketball Tournament. I agree that if I have any question(s) as to what physical ability, skills, qualifications, or training is necessary for me to properly and safely use the property, facilities, equipment, and/or services of the Gymnasium and/or to participate in the Tournament activities, I will direct such question(s) to a Member of the Scholarship Committee. I understand that my use of the property, facilities, equipment, and/or services of the Gymnasium and/or my participation in Tournament activities present certain risks of injury including but not limited to personal injury or death. Understanding the risk involved, I knowingly and voluntarily choose to take these risks in order to use the property, facilities, equipment, and/or services of the Gymnasium and/or to participate in Tournament activities. I understand and agree that medical insurance is my responsibility. I acknowledge that the Silas Carneal Jones Memorial Scholarship strongly recommends that I purchase health insurance to cover injury or illness which may result from my use of the property, facilities, equipment, and/or services of the Gymnasium and/or my participation in Tournament activities. I understand that the State of Arkansas, Silas Carneal Jones Memorial Scholarship, the Board of Trustees, and Fuller Middle School do not provide insurance for any injury or illness which occurs as a result of my use of the property, facilities, equipment, and/or services of the Gymnasium and/or my participation in Tournament activities. In case of emergency, accident, illness, or other incapacity which occurs while I am using the property, facilities, equipment, and/or services of the Gymnasium and/or participating in Tournament activities, I give my permission to be treated by a medical professional and admitted to a hospital, if necessary. I understand and agree that I am responsible for all medical and emergency expenses incurred on my behalf regardless of whether I have authorized such expenses. I forever release the Silas Carneal Jones Scholarship, the Board of Trustees, and Fuller Middle School, together with their agents, officers, and employees, from any and all claims, suits, or actions of any nature resulting from or arising out of my use of the property, facilities, equipment, and/or services of the Gymnasium and/or my participation in Tournament activities I understand that this ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY binds my heirs, executors, administrators, and assigns, as well as me. 1. Participants Signature 2. Participants Signature Parent/Guardian Signature Parent /Guardian Signature 3. Participants Signature 4. Participants Signature Parent/Guardian Signature Parent/Guardian Signature
6 SILAS CARNEAL JONES MEMORIAL SCHOLARSHIP GUIDELINES FOR 2012 PLEASE READ CAREFULLY ELIGIBILITY 1. Applicants must be a 2012 graduating high school senior entering college or vocational-technical school for the first time. 2. Applicants must have a GPA of 2.5 or greater and an ACT score of at least 18. REQUIREMENTS All applications from students must be submitted on or before March 1, A. The following must be submitted with the application. 1. Letter of acceptance from an accredited two or four year college or university the student plans to attend. 2. Letters of recommendation from the school counselor or two teachers 3. An essay of at least 500 words in which you will write on this topic: *Explain why you should receive this scholarship. 4. An original high school transcript. NOTE: All items on application must be completed (do not leave blank spaces). Incomplete applications will be returned to applicant. Completed scholarship applications should be postmarked on or before March 1, 2012 to: Carneal Jones Scholarship Fund ATTN: Octavia & Wadie Moore 6611 Woodfield Road Little Rock, AR This form may be duplicated if additional copies are needed. For more information contact Octavia Moore (501) (Page 1 of 2)
7 2012 SILAS CARNEAL JONES SCHOLARSHIP APPLICATION Name Address: City/Zip Home Phone: Cell Phone: Parents/Guardian High School: Counselor s Name High School Activities (Band, Choir, Sports, Drama, Clubs) High School Honors: Community Activities (List community volunteer activities hospital, Red Cross, nursing home, etc.) Also give name and number of contact person to verify your involvement. (Add additional sheets if necessary) Previous Scholarship Winners 2007 Vakeyia Dulaney, Little Rock Hall 2007 Tracy Okoli, Mills University Studies 2008 Phillip Evans, First Baptist Highland Park 2008 Lashaye Allen, First Baptist Highland Park 2008 Britney Jones, First Baptist Highland Park 2009 Helena Liu, Little Rock Central 2009 Sarah Kirchner, Little Rock Central 2009 Myla McBride, Episcopal Collegiate 2010 Sydne Hayman, Little Rock Central 2010 Josh Lintag, Little Rock Central 2010 Shelby Holden, Sylvan Hills 2011 Zatches C. Allen, Little Rock Central 2011 Alexandera Fisher, Little Rock Central 2011 Tiffany Roby, North Little Rock 2011 Yasmine Yarnee Smith, Little Rock Hall
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