Tunica Woman's Club "Betty Jo Dulaney Memorial Scholarship" Application Form

Educational Information
Name of High School *
ACT/SAT*
Ranking in Graduation Class (optional)
GPA*
Date Expected to Graduate*

MonthDayYear
Date
Please upload your school transcript (including GPA and ACT/SAT scores)

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Academic awards and/or honors you received in High School*
Are you a member of any organization in your school? Please provide information*
List any civic and volunteer activities in which you have participated during your high school career. *
Name of Institute of Higher Learning you are planning to attend.
Institution's Bursar Office (this information is required to send award if selected)*

Mailing Address

Street Address Line 2

CityState

Zip Code
Type of Institute of Higher Learning *
Have you been accepted to the school you plan to attend? If not, when will you expect to know?*

Will financial aid be required for you to attend your school of choice? *
Have you tried applying for scholarships with other organizations previously?*

YesNo
Have you tried applying for financial aid?*

YesNo
While academic achievement and financial aid will be taken into consideration during the selection process, they are by no means the primary requirements for selection. Major consideration will be given to those applicants exhibiting a spirit of volunteerism and self-motivation to make a positive difference in their community.

Scholarship Essay

Please do not indicate your name or school anywhere in the body of the essay.
Please write a one-page essay on how civic or community service has impacted your life and how you plan to serve your community in the future. *

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List 3 examples of how you have served your community of Tunica County within the past year.
Two letters of recommendation must be provided. These letters of recommendation must specifically address your volunteer efforts in your school and/or community. At least one (1) recommendation should come from a teacher or school counselor.

Please have the recommendation letters emailed to both Bess Sullivan at besssullivan@hotmail.com and Cathy Fullilove at cfullilove@pccua.edu.

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR DISQULIFACTION FOR SAID SCHOLOARSHIP.
Applicant's Signature

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Name of Applicant

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Date Signed by Applicant

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Tunica Woman's Club