James Lloyd Memorial Scholarship Application

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The James Lloyd Memorial Scholarship will be awarded to a Wellborn High School graduate who desires to pursue a degree at an accredited Alabama college or university. The recipient will be chosen on the basis of athletic involvement, scholastic record and financial need.

The scholarship check will be made out to the college or university.. The scholarship may be applied toward books or tuition for the student.

Email *

Name *

Address *

Telephone *

College planning on attending

Area of study to be pursued

Will you be a full-time or part-time student? *

Full time

Part time

Estimated funds needed for tuition? Books? *

List your composite score on the ACT. *

Current GPA *

Class Rank *

Total number in graduating class *

Have you applied for a Basic Educational Grant? *

Have you received financial assistance from other sources such as scholarships, aid or loans? *

Activities and Awards *

Athletic Participation - Please list any honors/awards received and the years involved. *

Academic Achievements - Please list any honors/awards received and the years involved. *

Father's Name *

Occupation *

Mother's Name *

Occupation *

Do you intend to work while attending college? *

Yes

Are you currently employed? *

Yes

Is so, where?

Total number of dependents in your family including yourself *

Family's total adjusted gross income from last year's tax return *

Application must include:

Official Transcript (as of application deadline)

Personal Essay

Two letters of recommendation

Clear selection

Applicant's Signature *

Send me a copy of my responses.

Submit

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