POSTMARK APPLICATION BY March 23, 2017

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POSTMARK APPLICATION BY March 23, 2017 A Man of Learning Ever achieving, Louis drew life lessons from daily experiences and applied them towards his life goals. In and out of the classroom, he committed to diligently learning and imparting knowledge to others to help them along the way. A Man of Talent Ever making his mark, Louis was very gifted in music and in sports. With his many hobbies, he became a jack of all trades. Rising to any occasion, he was adept at becoming whatever he needed to be in order to meet the challenge at hand. A Man of Leadership Ever modeling by example, Louis valued people. His honesty, sense of humor, confidence, commitment and positive attitude inspired others. A one-of-a-kind, Louis was a change agent, unafraid of pursuing uncharted waters, making history. More on the Life of Jasper Louis Thurman Jr. at www.louisthurman.org Scholarship Eligibility: 1. The Jasper Louis Thurman Jr. Scholarship recognizes high school seniors and full-time undergraduate freshman students who have proven success in learning, demonstrating their unique talents and courageous acts of leadership. 2. High school seniors must be eligible to graduate at the end of current academic year. 3. High school seniors must be able to prove enrollment in a four-year accredited college for fall semester of 2017 or a two-year institution that will transfer credit to a four-year college. 4. Undergraduate freshman students must be able to prove full-time enrollment (taking a minimum of 9 credits). 5. Have taken the SAT or ACT.

TO BE COMPLETED BY APPLICANT (Please print in black ink or type.) Applicant s Name Address City State ZIP Phone ( ) e mail Date of Birth Graduation date 20 What activities did/do you participate in at your high school/college? List any offices held or honors received in these activities. List any academic honors that you have received List universities or colleges you have been accepted to, attend, or applied to for acceptance. All essays written as part of the Jasper Louis Thurman Jr. Scholarship application process become the property of LouisThurman.org. LouisThurman.org retains the right to post some or all of the winning essays and to identify the authors of the winning essays. Signature Date

TO BE COMPLETED BY SCHOOL Dear School Representative: This student is an applicant for the Jasper Louis Thurman Jr. Scholarship. As an aid in the selection process it is necessary that the Jasper Louis Thurman Jr. Scholarship Selection Committee receive the information regarding the student s character, ability and performance sought in this section. It is important that this section be completed and returned to the applicant so that he/she has sufficient time to submit their entire application postmarked no later than MARCH 23 rd. (Please print in black ink or type.) Name of School Address City State ZIP Who is rating the student? Name Relationship (e.g., principal, teacher, counselor) Length of relationship? What is your general evaluation of this student? Sometimes special circumstances should be considered when evaluating a student s achievement record and test scores. Please specify: Other comments: Please include any Scholastic Aptitude Test (SAT) or American College Test (ACT) scores. GPA Class Size Class Ranking Please attach a transcript of the student s grades. Include an explanation of the grading system used. Signature Date

INSTRUCTIONS NOTE: The Jasper Louis Thurman Jr. Scholarship is for graduating high school seniors and undergraduate freshman students only. 1. Complete the applicant section on page 2 of this form. You may also include two letters of recommendation. 2. Compose an essay, typed and double-spaced, not to exceed 1,000 words, on the subject: How have you proven success in learning, demonstrated unique talent(s) or accomplished courageous acts of leadership. Explain what the following quote means to you: A man is not defined by his stature but by the size of his heart. 3. Have your counselor or other representative complete the school section on page 3 of this form, and provide an unofficial copy of your school transcript and Scholastic Aptitude Test (SAT) or American College Test (ACT) scores. 4. As one of the eligibility requirements, a candidate must take either the SAT administered by the College Board, or the ACT administered by the American College Testing Program. The applicant is responsible for all fees related to either the SAT or ACT. 5. Please make sure your complete application and all support documentation (essay, transcripts, letters of recommendation, SAT or ACT scores, etc.) are mailed together in one envelope, POSTMARKED NO LATER THAN MARCH 23 rd, to: 6. Please do not send photos! Jasper Louis Thurman Jr. Scholarship Fund P.O. Box 8253A Backlick Road Newington, VA 22122

JASPER LOUIS THURMAN JR. SCHOLARSHIP FUND The Jasper Louis Thurman Jr. Family Scholarship Fund awards one $1,000 once a year. The scholarship will be awarded after proven enrollment in a college or university. To be eligible for a scholarship the student must: Be a high school senior who will graduate at the end of the current academic year or a full-time undergraduate freshman student. At the time the scholarship is awarded, be accepted into a full-time degree program either at an accredited four-year institution or a two-year institution that will transfer credits to a four-year institution; and Have taken the SAT or the ACT (see page 4). The scholarship may be used for any field of study. HOW WILL THE SELECTION BE MADE? The Scholarship Selection Committee will thoroughly examine all the application materials submitted by each scholarship applicant. In addition to the Official Application Form and the applicant s essay, the school transcript and the SAT or ACT results, the selection committee will carefully consider any recommendations or other evidence (e.g., high school activities or academic honors) of the applicant s character and abilities. Based on the record of each applicant, the selection committee will then choose a scholarship recipient and announce the winner by JUNE 1 ST. Every applicant will be notified in writing of the outcome of the selection process. The decision of the selection committee is final.