Livingston Parish Chamber of Commerce Academic Scholarship Application Students: Thank you for your interest in the Chamber s scholarship program. Livingston Parish Chamber of Commerce Scholarship Applications are only available to graduating seniors who attend schools in Livingston Parish. Please type your application information in the appropriate spaces below. Include any and all necessary supporting materials in your application packet. We recommend that you return your packet to your counselor for their review of materials and to ensure your application is complete. An official transcript signed by your counselor is necessary to complete the application. Please include four copies of your application and supporting documentation. These four copies must be included when you submit your packet. We do offer you the opportunity to mail or deliver your packet to the Chamber Office (note new Chamber address). Zeros will be given for incomplete information/items requested. Your completed packet should be dropped off or postmarked no later than March 5, 2015. Recipients will be awarded for their freshman fall semester and must pick up their award before the beginning of the fall semester or quarter. Scholarships awarded will be in the amount of $500 each. March 5 th Application Due March 27 th Awarded students notified April 15 th - RSVP due for scholarship presentation luncheon April 22 nd Chamber Scholarship Presentation Luncheon with Sponsors Livingston Parish Chamber of Commerce 248 Veterans Blvd. Denham Springs, LA 70726 (225) 665-8155 Office Hours: Monday Thursday 9 a.m. 4 p.m. Friday 9 a.m. 12 p.m.
Applicant Information Please print or type, completing all requested information. Only completed applications will be considered. Last Name First Name Middle Initial Street Address City, State Zip Code Phone / Cell E-Mail Address Education Information High School Graduation Date GPA Composite ACT Class Rank Introductory Question Briefly describe your understanding of the Livingston Parish Chamber of Commerce and the Chamber s role in Livingston Parish and the community.
LETTERS OF RECOMMENDATION From Teachers Only You are required to submit two letters of recommendation, from teachers only, on behalf of your application for this scholarship. Teachers writing letters of recommendation may use the following guidelines for writing their letters. 1. Name of scholarship applicant. 2. Comment on the applicant s personal character. 3. Comment on the applicant s scholastic performance and work ethic. 4. Characteristics that are the applicant s greatest attribute. 5. How would you rate the applicant s potential for future personal achievement? Why? 6. Additional comments.
SCHOLASTICS I. Please provide your ACT score. Understand that your GPA describes your academic progress over time (4 years), while your ACT score is only a concluding snapshot of your work. However, both are important in the assessment of your academic progress. (This information may be attached to your transcript). Number of times ACT was taken. (Best) Composite Score. II. List all honors or advanced placement (AP) programs you have completed, or are enrolled in at the present time (if more space is needed, list on a separate sheet of paper). III. List all academic competitions you have participated in (if more space is needed, list on a separate sheet of paper).
SCHOOL/EXTRA-CURRICULAR ACTIVITIES I. Please list your membership in and describe your participation in any organizations, clubs, or sports activities. Please note the length of time you participated in these activities (if more space is needed, list on a separate sheet of paper). II. Please list any leadership responsibilities which you have held and the duties required in these roles (if more space is needed, list on a separate sheet of paper).
SERVICE TO YOUR COMMUNITY I. Please list your membership, participation, and any volunteer community services you are actively involved in or have participated in for your community. Also, list the length of time you have been involved with these programs (if more space is needed, list on a separate sheet of paper). II. Describe any positions of leadership or responsibilities you have held for community organizations. Also, list the length of time you held these positions (if more space is needed, list on a separate sheet of paper).
ESSAY SECTION Please choose one of the following essay topics. The essay must be TYPED double spaced, 300 500 words and submitted on 8½ by 11 paper. Title each essay as follows: Essay Section ~ Topic 1 Essay Section ~ Topic 2 Essay Section ~ Topic 3 Essay Section ~ Topic 4 Topic 1 Imagine yourself telling your grandchildren all that you ve accomplished in your life. Tell us the story of the person you believe yourself to be. Indicate any additional information you feel would distinguish yourself from other applicants. Topic 2 Tell us about your future. What career goals have you set for yourself? What are your plans to accomplish them? How would you define success for those goals? Topic 3 Tell us about the academic support you have had through high school. Who is your role model/hero and why? Who deserves the most credit for your academic success to date? Topic 4 Tell us, from a student s perspective, what reasons you would give a business for starting up or moving to Livingston Parish.
SIGNATURE REQUIRED Your signature is required on the first signature line as your application will not be accepted without it. The second signature line is a separate line that you should sign for commercial purposes. If selected you agree to allow the Livingston Parish Chamber of Commerce to use your name and likeness for the promotion of the scholarship. Please sign the application, and then print your name. I attest by my signature, that the information included in this application is truthful and correct, and my own work. I also understand if I am selected as the winner, I may be required to attend a Chamber s meeting for public presentation of my scholarship. I understand that if funds are awarded they will be subject to IRS compliance and disbursements. Applicant s Signature: Applicant s Name: (please print) Date: Incomplete or unsigned applications will not be considered for this scholarship. If selected, the Chamber reserves the right to use my name and likeness for appearances for television commercials, radio and newspaper used specifically for the promotion for the Chamber. Applicant s Signature: Applicant s Name: (please print) Date: Parent/Guardian s Signature: Parent/Guardian s Name: Date:
APPLICATION CHECKLIST o All application information completed and typed. TYPED o Official high school transcript with ACT score(s), signed by guidance counselor. o Two letters of recommendation from teachers. o Minimum 500 word typed essay. o Submit 4 copies of application and supporting documents.