2023-2024 Doretha Barnes Pinkins Scholarship

OUR HISTORY

Lillie's Institute of Phlebotomy/EKG was founded August 4, 2017 in Killeen, TX By Mrs. Brittney N. Johnson. Her vision was to create an allied healthcare institute that would specialize in the field of phlebotomy while fostering a cutting edge approach to teaching the future of this profession.

THE PROGRAM

Lillie's Institute of Phlebotomy/EKG will provide scholarships for the 2023-2024 academic school year to deserving high school seniors who exemplfy academic and community excellence. The scholarship is named for Doretha Barnes-Pinkins, the youngest daughter of Lillie M. Barnes-Conyer. Doretha was a freedom fighter who believed in the power of education.

ELIGIBILITY

To be eligible for the scholarship, perspective awardees must:
- Be a United States Citizen (subject to verification)
- Be currently enrolled in high school
- Be a high school senior planning to enroll at Lillie's Institute of Phlebotomy/EKG
APPLICATION

Interested students must complete the scholarship application along with the following:
- A 500-word maximum typed essay (see essay topic on application)
- Two (2) letters of recommendation (must be from a teacher, counselor, Minister, or Commnity Leader, or school official)
- Offical transcript required
- Community Service- produce a signed letter from organization/church affiliation on an official letterhead with contact information.
The application and all required supporting documents (transcript, letters of recommendation and essay) must be completed by April 5, 2024. Applications submitted after this date WILL NOT be considered

School Address:

Lillie's Institute of Phlebotomy/EKG

Attn: Scholarship Committee

3901 E Stan Schlueter Lp #103

Killeen, TX 76542

All information received is considered confidential and is reviewed only by the Lillie's Institute of Phlebotomy/EKG admissions department and reprentatives.

APPLICANT INFORMATION
LAST*
FIRST*
MIDDLE
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TELEPHONE NUMBER(S)*
STUDENT EMAIL ADDRESS*
example@example.com
DATE OF BIRTH*

MonthDayYear
Date
SCHOOL PRESENTLY ATTENDING*
SCHOOL ADDRESS*
EXPECTED GRADUATION DATE*

MonthDayYear
Date

ADDITIONAL INFORMATION
PARENT(S)/GUARDIAN NAME (S)*
PARENT(S)/GUARDIANS NUMBER (S)*
SCHOOL & COMMUNITY ACTIVITIES
USING THE SPACE BELOW, LIST EXTRACURRICULAR, COMMUNITY AND/OR RELIGIOUS ACTIVITIES IN WHICH YOU HAVE PARTICIPATED DURING THE LAST FOUR YEARS. LIST ACTIVITIES IN ORDER OF IMPORTANCE TO YOU. (YOU MAY USE A SEPARATE SHEET IF NECESSARY).*
LIST LEADERSHIP POSITIONS HELD DURING HIGH SCHOOL. INCLUDE DATES OF PARTICIPATION.*
USING THE SPACE BELOW, PLEASE LIST YOUR PAID AND/OR VOLUNTEER WORK EXPERIENCE DURING THE PAST FOUR YEARS BEGINNING WITH YOUR MOST RECENT POSITION. (YOU MAY USE A SEPARATE SHEET IF NECESSARY)*
ESSAY QUESTION
(PLEASE COMPLETE ON SEPARATE SHEET TYPED) IN NO MORE THAT 500 WORDS, PLEASE DESCRIBE YOUR CAREER GOALS, HOW CAN THIS AWARD AND ATTENDING THIS INSTITUTION HELP YOU TO ACHIEVE THESE GOALS, AND WHY SHOULD YOU RECEIVE THIS AWARD?
File Upload ( all letters, GPA, transcripts, essays)*

Cancelof
CERTIFICATION
I hereby affirm or certify that the information provided on this application was prepared by me and is accurate and complete to the best of my knowledge and information.
Applicant's Signature*

Clear
Date*

MonthDayYear
Date
Signature of Parent/Guardian*

Clear
Date*

MonthDayYear
Date
Should be Empty:

APPLICANT INFORMATION

ADDITIONAL INFORMATION

SCHOOL & COMMUNITY ACTIVITIES

ESSAY QUESTION

CERTIFICATION