2024 HMS Foundation | Scholarship Application

P O BOX 16969, Jackson, MS 39236
Scholarship Application Form
- All correspondence and award agreements will be generated from the personal information submitted below. Please use proper spelling, capitalization, and punctuation.
- Applications must be submitted no later than 5 pm - Sunday, June 30, 2024.
- Applicants will be notified of the decision.
Select Scholarship Opportunity below:

Helen T. Martin ScholarshipTheo Davis ScholarshipHollis Musgrove ScholarshipEric C. Lucas Memorial "Music" Scholarship
Application Type

First Time ApplicantReturning Applicant
Personal Info
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Cell*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the home address different from the mailing address?

YesNo
Mailing Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
High School Information
(For High School Students Only)
High School Name
High School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
High School Phone
Please enter a valid phone number.
Date of Anticipated Graduation from High School (High School Students only)
Cumulative GPA
College/University Information
College/University Name
College/University Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ADMISSION STATUS

AcceptedPending
Enrolled Full-Time, 12+ hours

YesNo
TYPE SCHOOL

4 year University/CollegeCommunity College
ACCREDITED

YesNo
CLASS STANDING

FreshmanSophomoreJuniorSeniorGraduate
Date of Anticipated Graduation from College (College Students only)
Major/Intended Major:
Please indicate what is your major are of study
Church Information
Church Name
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor
Pastor’s Telephone Number
Please enter a valid phone number.
Church Activities, Community Service or Volunteer Experience
Please include name of organization, position, service performed and date.
Extracurricular/Fine Arts Activities
Attach an additional page if necessary
Extracurricular/Fine Arts Activities File Upload

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Honors and Awards
Please include the title of award and the month/year received.

0/500
Personal Statement
Your personal statement should be a minimum of 500 words. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.

0/500
Uploads
Letter(s) of Recommendation

Max upload two (2) files
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Letter of Acceptance (if applicable)

Max upload one (1) file
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Official Transcript

Max upload one (1) file
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Job Offer Letter (if applicable)

Max upload two (2) files
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Personal Statement (upload option)

Max upload two (2) files
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Applicant's E-Signature
I have read and understood the instructions and requirements of the {selectScholarship} application.

I hereby affirm that the completed application, including the personal statement, is my own work. I certify that all statements contained within are correct to the best of my knowledge.
Date
Applicant Name

First NameLast Name
Signature

Clear
Should be Empty:

Scholarship Application Form

Applicant's E-Signature