Trinity United Methodist Church Scholarship Application Cover Sheet (January, 2015) Janice Taylor Burns Scholarship The Janice Taylor Burns Scholarship award was established September 1986, by Mr. and Mrs. Reese Taylor in memory of their daughter who, in her youth, was an active member of Trinity United Methodist Church and graduated from Wicomico Senior High School. Rutland and Daisy Beard Scholarship The Rutland and Daisy Beard Scholarship award was established in June 1996, by Michael W. and LaVara Paal in memory of Rutland and Daisy Beard of Catonsville, Maryland. This award recognizes their philanthropic activities and interest in the education of our youth. Irene Collins Scholarship The Irene Collins Scholarship award was established in January 2004, by Mrs. Irene Collins. The scholarship monies are made possible by the interest earned on the principle that was funded completely by Mrs. Collins. Donors: Frances Elizabeth Lang (2006) Lucy Tull Dulany by bequest (2007) The funds for the scholarship awards are made possible through the interest earned on an endowment fund established by the donors and administered by the Trinity United Methodist Church Board of Trustees, through the Community Foundation of the Eastern Shore. The Criteria for the Awards: The student must be a member of Trinity United Methodist Church and regularly attend Sunday School and participate in youth programs. The student must successfully complete a Wicomico County or other secondary school and be accepted into an accredited two or four year college program. The student must display traits of good citizenship and conduct both at school and church. The student must display loyal service to their school and church. The student s financial need may be considered. The award is available to graduating high school seniors and undergraduate college students. The application for the award shall be made in writing by the date established by the Trinity United Methodist Church Board of Trustees. The applicant must justify the need in their written materials. The award will not be presented if it is determined that no one is eligible. 1
JANICE TAYLOR BURNS, RUTLAND AND DAISY BEARD, AND IRENE COLLINS SCHOLARSHIPS APPLICATION COVER SHEET (Application must be received by the Trinity Board of Trustees) Student Name: High School: College or university to which you Estimated Check if applied (in preference order) tuition, room, accepted board and fees (for semester) 1. $ 2. $ 3. $ Other scholarships, grants or financial aid applied for: Amount awarded at time of filing of application 1. $ 2. $ 3. $ 4. $ 5. $ I have attached to this application the following: 1. Letter of acceptance from college or university, if received. 2. High school transcript, including current year to date. If in college, attach high school transcript and college transcript. 2
SCHOLARHSIP APPLICATION PERSONAL DATA Legal name Last First Middle (complete) Permanent home address If different from the above, please give your mailing address for all correspondence: Use Until Permanent telephone no. Mailing telephone no. Birth date Social security no. Possible area(s) of academic concentration/major or undecided Will you be a candidate for financial aid? Yes No If yes, please include the date on which the appropriate form(s) was/were filed. (Fill out each that applies.) College Scholarship Service FAF Free Application for Federal Student Aid School you attend now Date of expected secondary graduation List all other secondary schools, including summer schools and programs you have attended beginning with ninth grade. Name of School Location (City, State, Zip) Dates Attended 3
TEST INFORMATION Scholastic Aptitude Test (SAT) Achievement Tests (ACH) Subject Subject Subject American College Test (ACT) Dates taken or to be taken: ACADEMIC HONORS Describe any scholastic distinctions or honors you have won beginning with ninth grade: 4
EXTRACURRICULAR, PERSONAL AND VOLUNTEER ACTIVITIES Please list your principal extracurricular, community and family activities and hobbies in the order of their interest to you. Include specific events and/or major accomplishments such as musical instruments played, varsity letters earned, etc. Please check in the right column those activities you hope to pursue in college. Activity Grade level or Approximate Positions held, Do you plan Post-secondary time spent honors won or to participate 9 10 11 12 PS letters earned in college? CHURCH DATA Are you a member of Trinity United Methodist Church? If so, when did you become a member? List participation in any special Trinity youth programs or service to Trinity United Methodist Church in a special way or capacity, please explain below. 5
SPECIAL FACTORS Please advise us of any special factors or considerations which we should take into account in evaluating your application, including financial need. FAMILY Mother s full name Home address if different from yours Is she living? Occupation Father s full name Home address if different from yours Is he living? Occupation Please check if parents are: Separated Divorced Other Please give names and ages of your brothers and sisters. If they have attended college, give the names of the institutions attended, degrees and approximate dates. 6
WORK EXPERIENCE List all jobs (including summer employment) you have held during the past three years. Specific nature Employer Approximate dates Approximate no. of hours of work of employment worked per week In the space provided below, briefly discuss which of your church affiliations, extracurricular activities, or work experience has had the most meaning for you and why. Describe your goals for your future as they apply to your education and life choices. My signature below indicates that all information in my application is complete, factually correct and honestly presented. Signature 7 Date