Carl AllenNeurath,Jr.Memorial Scholarship General Description:

Each year, the Neurathfamily awards a scholarship in memory of Carl Allen Neurath Jr. A rising senior and mechanical engineering student at Georgia Tech, Allen was in the co-op program at Gulfstream Aerospace Corporation when he died in a car accident April 17, 2001. Allen worked very hard to become a "Yellow Jacket," and his family was extremely proud of him not only for his outstanding academic accomplishments but also for the type of young man Allen hadbecome. Whileheexcelledas a student, Allen also was very active in Tech's music program, various college community outreach programs and his church.

To honor Allen's memory, his family awards a $1,000 scholarship to an Effingham County High School senior who is accepted and who will attend the Georgia Institute of Technology. This senior must have highacademicachievements, must be active in and devoted to his or her community, and also must be involved in extracurricular activities andprograms.

Due:Thursday,April 20, 2017at10AM

Application for Carl Allen Neurath Georgia Tech Scholarship

Description: This scholarship is to be awarded to honor the memory of Carl Allen Neurath and will be awarded to a student graduating from Effingham County High School.

•The applicant must be a senior or a graduate of Effingham CountyHigh School.

•The applicant must be accepted to attend Georgia Tech. High school seniors MUST be committed to attend GeorgiaTech.

•Thescholarshipwillbea$1000onetimeaward.

•The scholarship will be awarded upon the basis of financial need, scholastic achievement, promise of success in college as reflected by the scores on the ScholasticAchievementTestoftheCollegeBoardandtherecommendations submitted with theapplication.

•This application must be accompanied by three letters of recommendation from persons not related to the applicant who are able to testify to the applicant's character, seriousness of purpose, and a need of financial aid. Two of these letters of recommendation must be from teachers oradministrators.

•The applicant must submit a copy of the high school transcript and SAT scores.

•The scholarship will be awarded during the Senior Class Night programeach

year.

Application is due to Mrs. Hayes by Thursday, April 20, 2017!

Application for Carl Allen Neurath Scholarship

I.PersonalData:

Name: LastFirst Middle

DateofBirth:II

Age:---

Gender:-----

SocialSecurityNumber:------

PhoneNumber:

Address ------

StreetorPOBox

City

Zip Code

II.FamilyData:

__Father__Step-father__Guardian (CheckOne)

Name: ------

Address: ------

0ccupation: ------

Employer: ------

__Mother__Step-mother__Guardian (CheckOne)

Name: Address:

Occupation:

------

Employer:

------

ANNUAL GROSS FAMILY INCOME BEFORE DEDUCTIONS (Check one):

_Under $33,000

_$34-50,000

_$50-70,000

_$70 -85,000

_Above $85,000

Brothers'NamesSisters'Names

______(Age)______(Age)_____

______(Age)______(Age)_____

______(Age)______(Age)_____

______(Age)______(Age)_____

Persons other than those alreadynamed who also reside in yourhome:


Is another member of your family attending college, technical school, nursing school, or other post-high school trainingprogram? __Yes __No

Ifyes, pleaseexplain.


Within the last five (5) years, have there been any unusual circumstances in your family that have created extreme financial difficulty such as an extended illness, accidents, physical

disability,etc.?__Yes__No

Ifyes, pleaseexplain.


III.Education/CareerGoals

Why have you chosen to attend Georgia Institute of Technology?


Have you applied to Georgia Institute of Technology?__Yes__No

Have you been accepted to Georgia Institute of Technology?__Yes__No

Ifyes, have you accepted the offer ofadmissions?__Yes__No Have you paid your admissions deposit to GATech? __Yes___No

Please use the boxbelowto provide additional information if necessary.


Give a brief statement of your major course of study at Georgia Tech and your career plans

upongraduatingfromcollege.


What are the reasons that made you choose Georgia Tech over other colleges?

______

IV.Activities

In what community activities or projects have you recently taken part? What was your role in eachone?


In what school activities or projects have you recently taken part? What was your role in

each?



V. Financial Assistance

HaveyoufiledtheFreeApplicationforFederalStudentAid(FAFSA)?__Yes__NoHave you completed the Financial AidApplication for Georgia Tech?__Yes __No

Ifyou receive an offer for the federal work-study program through GA Tech, will youaccept thisoffer?__Yes __No

What other sources of financial assistance might be available to you? (For example, trustfund, insurancepolicies,IRA,etc.?)