2024 NYDARIAN BUSSELL HUMANITARIAN SCHOLARSHIP AWARD

2024 NYDARIAN BUSSELL HUMANITARIAN SCHOLARSHIP AWARD
Applications (males only) will be accepted from March 6 - April 30, 2024 (We will be awarding three young men from our community with a grand total of $3000)
First
Middle
Last
MAILING ADDRESS
City
State
Zip
CELL PHONE
ALT. CELL PHONE
EMAIL
example@example.com
CURRENT SCHOOL
CURRENT GPA
HERIOC MOVES
INCLUDE IN A BRIEF TYPED ESSAY THE FOLLOWING INFORMATION:
1.IF YOU ARE AN ACTIVE MEMBER OF LOCAL CHURCH, DESCRIBE YOUR CHURCH INVOLVEMENT.

2. DESCRIBE YOUR COMMUNITY INVOLVEMENT.

3. DESCRIBE YOUR ACADEMIC, CAREER GOALS, AND HOW WILL THIS SCHOLARSHIP HELP

4. LIST ACADEMIC AND COMMUNITY ACHIEVEMENTS, HONORS, AND AWARDS RECEIVED.

5.CHOOSE ONE ACHIEVEMENT AND TELL US WHY IT IS ESPECIALLY MEANINGFUL FOR YOU.
2024 NYDARIAN BUSSELL HUMANITARIAN SCHOLARSHIP AWARD
SUCCESSFUL APPLICANTS WILL BE RECOGNIZED AT AN AWARDS PRESENTATION
BANQUET TO BE HELD AT THE ANNUAL MEN2Be GALA.

ALL APPLICANTS WILL RECEIVE NOTICE OF THE FINAL DISPOSITION OF THEIR APPLICATIONS AS SOON AS PRACTICABLE AFTER THE SELECTION PROCESS IS COMPLETED.

AWARDS ARE CONTINGENT UPON PROOF OF AN ACTIVE PLAN OF YOUR GOALS, ACCEPTANCE LETTER FROM A COLLEGE, UNIVERSITY, OR TECHNICAL COLLEGE.

ONE PERSONAL REFENCE AND ONE TEACHER REFENCE
APPLICATION INFORMATION RELEASE STATEMENT
THE INFORMATION PROVIDED IN MY APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, COMPLETE AND ACCURATE. I GIVE PERMISSION FOR ANY COLLEGE, SCHOOL, OR INDIVIDUAL

TO RELEASE TO THE NY BUSSELL HUMANITARIAN SCHOLARSHIP COMMITTEE, Men2BeINC, And

ANY INFORMATION NECESSARY TO PROCESS MY SCHOLARSHIP.
I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO ENSURE THAT ALL SUPPORTING DOCUMENTS ARE RECEIVED BY NY BUSSELL HUMANITARIAN SCHOLARSHIP COMMITTEE
APPLICANTS SIGNATURE

Clear
GUARDIANS SIGNATURE IF UNDER 18 YRS OF AGE

Clear
DATE

MonthDayYear
Date
REQURIED ITEMS TO BE INCLUDED WITH YOUR APPLICATION **INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
COMPLETED APPLICATION

ESSAY

HEROIC MOVE ACTION PLAN AND/OR COLLEGE ACCEPTANCE LETTER

MOST RECENT GPA VERIFICATION
Men2BeINC

P.O. BOX 64

Hopkinsville, KY 42241

270.349.4753
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2024 NYDARIAN BUSSELL HUMANITARIAN SCHOLARSHIP AWARD

MAILING ADDRESS

INCLUDE IN A BRIEF TYPED ESSAY THE FOLLOWING INFORMATION:

2024 NYDARIAN BUSSELL HUMANITARIAN SCHOLARSHIP AWARD

SUCCESSFUL APPLICANTS WILL BE RECOGNIZED AT AN AWARDS PRESENTATION

APPLICATION INFORMATION RELEASE STATEMENT

I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO ENSURE THAT ALL SUPPORTING DOCUMENTS ARE RECEIVED BY NY BUSSELL HUMANITARIAN SCHOLARSHIP COMMITTEE

REQURIED ITEMS TO BE INCLUDED WITH YOUR APPLICATION **INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED