2021 Scholarship Application
Dixie Area Business Association - This application is due by Friday, April 30, 2021 at 11:59 PM ET.
Student Name
First Name
Last Name
Student Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
-
Area Code
Phone Number
High School
Beth Haven
Butler
Doss
Holy Cross
PRP
Valley
Western
Principal Name
Counselor Name
University/College Name (anticipated)
University/College Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please attach a document listing all school activities in which you have participated during the last four years.
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Please include the activity name, number of years participated, and any awards, honors, or offices held.
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Please attach a document listing all volunteer service activities that you have participated in during the last four years.
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This can include church, scouts, civic organizations, neighborhood associations, non-profits. Please include the organization name, number of years participated, and any projects completed.
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Please attach a document listing any paid employment experience during the last four years.
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Please include the company name, your position, date(s) you worked there, and average hours per week.
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Please submit a typed essay, no more than 1000 words, discussing the following:
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1.) Describe your college aspirations, and your reasons for applying for this scholarship. 2.) Describe how you have contributed to your community over the last year, in light of the pandemic. 3.) How has COVID-19 affected your family, and what have you learned?
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Please attach a letter of recommendation, including contact information.
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This letter of recommendation can be from a mentor, guidance counselor, teacher, troop leader, employer, minister, or someone other than family who can tell us about your good work in the community.
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Please attach an official high school transcript.
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SAT Scores
ACT Scores
Class Rank
Cumulative GPA
Must be at least 2.5 to qualify.
Anticipated Graduation Date
Applicant Checklist
Certification
Selection of Winners: The DABA Board will be responsible for selecting the award winners, basing their decision set forth in the Criteria and Application.
Please re-type the following acknowledgement:
All of the information on this form is true and complete to the best of my knowledge. I asked by an authorized official, I agree to give proof of the information that I have given on this form. I realize that if I do not give proof when asked, I may not be considered for the award.
Signature of Applicant
Clear
Date Signed
Submit
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