Scholarship Application

Scholarship Application

If you have any difficulties using this for you can contact Magan Cooper, HR Specialist, 304.413.2520 or mcooper@gmsminerepair.com.
Section A:

Personal Information
Applicant Name *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
College Attending*
Planned Major/Course of Study*
ACT/SAT Score*
Name of Parent*
Parent's Work Location*

Section B:

Selection Criteria
ACADEMIC RECORD: Official, Sealed Copy of Student Transcripts (High School or College, as applicable)

PARTICIPATION IN SCHOOL & COMMUNITY ACTIVITIES: Provide a Brief Narrative
STATEMENT OF GOALS & ASPIRATIONS: Provide a Brief Narrative (500 word maximum)

LETTERS OF REFERENCE: Attach two letters of reference

COLLEGE/UNIVERSITY INFORMATION:
• Applicants who have just been accepted to a program should submit a copy of the letter of acceptance from the college/university.
• Applicants actively enrolled in a current course of study must include a notice of
certification verifying enrollment and/or their most recent transcript.
Section C:

Application Component Review
APPLICATION CHECKLIST:
This application is considered complete only when you have returned all of the following materials:

You may upload these documents below or email all document and copy of signed application to HR@gmsminerepair.com
Letter of Acceptance

Cancelof
Official Transcript(s)

Cancelof
Letter of Reference #1

Cancelof
Letter of Reference #2

Cancelof
Statement of goals and aspirations (500 word maximum) & Narrative of school & community activities

Cancelof
Section D:

Verification & Signature
VERIFICATION:

In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. I agree to provide proof of any and all information in this application if requested by GMS Mine Repair and Maintenance, Inc. Falsification of information may result in termination of any scholarship awarded including an obligation to repay all funds disbursed. Upon submission, this application along with all included materials becomes this property of GMS Mine Repair and Maintenance, Inc.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Scholarship Application

Section A:

Section B:

Section C:

Section D: