Dr. Jeff Carrico Memorial Scholarship Application
Apply for the $1,000 scholarship honoring Dr. Jeff Carrico's legacy. Open to graduating seniors at Mayfield High School, Graves County High School, and Carlisle County High School who demonstrate leadership and prevention-focused involvement. The Dr. Jeff Carrico Memorial Scholarship honors the life and legacy of Dr. Jeff Carrico, a dedicated Graves County ASAP board member whose work in prevention and addiction medicine made a lasting impact on our community. Dr. Jeff believed in compassion, recovery, and the power of youth to create meaningful change. This scholarship supports graduating seniors who reflect those values through leadership, positive decision-making, and involvement in prevention-focused programs.
Applicant Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
High School
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Please Select
Mayfield High School
Graves County High School
Carlisle County High School
Are you a graduating senior this year?
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Yes
No
Have participated in one or more Graves County ASAP–affiliated programs, including: Youth Council, PURE Cards, Empower Club (If Carlisle County put "NA")
3 events attended in an GC ASAP affliated program (If Carlisle County put "NA")
Please describe your involvement in prevention-focused programs or activities.
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List your leadership roles and positive decision-making experiences (school, community, or extracurricular).
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How has involvement in a school- or community-based prevention or leadership activity (such as an ASAP-affiliated club or Youth Council) influenced your leadership, personal choices, and future goals?
Upload any supporting documents (e.g., recommendation letter, resume, or proof of involvement). One letter of recommendation from a teacher, counselor, or prevention professional, Letter may NOT be written by a Graves County ASAP employee
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