ROXANNA BOOTH SCHOLARSHIP PROGRAM

FOR

Current Graduates of SVHS Entering a Nursing

or Related Medical Technician Field of Study

As a longtime resident of Kenova, Roxanna Booth devoted her life to improving the lives of her neighbors and friends in Wayne County. She was an educator for the Kenova Independent School System and, along with her family, owned and operated several recreational venues in the Kenova and Northern Wayne County areas. In later years, she focused her attention on assisting young people in obtaining an education in the field of nursing, which she considered as a most essential profession. A lifelong member of the First Presbyterian Church of Kenova, Mrs. Booth gave the Church the charge of maintaining her endowment and continuing to serve the needs of the residents of Northern Wayne County.

To be eligible for this Scholarship, the applicant and his/her family must be residents of Wayne County and/or currently reside in the Spring Valley High School District. Graduating seniors must have attended Spring Valley High School. All Scholarships will be awarded at the complete discretion of the First Presbyterian Church of Kenova’s Scholarship Committee, to students on the basis of financial need, merit and personal ambition to pursue a career in nursing or a related medical technician field of study.

Scholarships are approved for a maximum of one year. Satisfactory completion of each year of study enables the applicant to reapply and be considered for additional funding towards a qualified two or four year degree program. Tuition scholarships will be paid directly to the institution of record. Help with textbook purchase may be in the form of a reimbursement directly to the student. Roxanna Booth Scholarships are deemed secondary to Promise or other scholarships, and therefore, may not be awarded to applicants who receive funding from another source.

Students must secure additional educational costs by taking advantage of whatever governmental grants, special college grants, student loans or work-study programs available. Applying to FAFSA is a prerequisite to this application.

Scholarship recipients are required to maintain a minimum 2.5 GPA in all coursework to remain eligible for continued funding. Copies of grades, tuition billing and/or book receipts must be submitted to the Roxanna Booth Scholarship contact person, as soon as they are available, so that payments can be made in a timely manner. Typically, we do not receive direct billing from the institutions. It is your responsibility to see that we receive the proper documentation.

The applicant should submit or cause to be submitted the following:

A cover letter expressing your background, interests, career goals and any other information you would want to have considered

A completed Personal Information sheet along with a recent photograph

A completed Academic Report from a SVHS counselor

An official copy of your SVHS transcript

A copy of your personal and/or family’s most recent federal income tax return

(only page 1 of any current 1040 form is required)

A copy of your FAFSA eligibility report

At least two letters of reference from any of the following:

Your Pastor or other church leader

A medical area of study instructor or sponsor

A current or previous employer

Another teacher or administrator from SVHS

A personal acquaintance who knows of your ethics, motivation and goals

Once collected, the complete package should be sent or delivered to:

First Presbyterian Church of Kenova

Roxanna Booth Scholarship Program

Attn: John M. Pickens, Director

PO Box 227, Kenova, WV 25530

(1116 Chestnut Street, Kenova)

The deadline for graduating seniors for the fall semester is April 1.

Only complete applications will be considered. A personal interview will be scheduled after your application has been reviewed by the Scholarship Committee.

Once accepted as a candidate, the majority of our communication will be through

E-mail to provide written documentation. Additional information can be obtained by contacting John Pickens at .

Revised 11/1/13

ROXANNA BOOTH SCHOLARSHIP APPLICATION

Personal Information

It is your responsibility to update this information when necessary!

Please print legibly or type:

First______Middle______

Last______Date of Birth______

Address______

City______State______Zip______

Phone______Cell______

E-mail address______

School of choice______Accepted______

Alternate school of choice______Accepted______

Program______Accepted______

Start date______Expected graduation date______

Other scholarships, grants or financial aid awarded or in progress (if any):

______Status______

______Status______

______Status ______

Additional information that we should take into consideration:

______

Signature______Date______

ROXANNA BOOTH SCHOLARSHIP PROGRAM

High School Academic Report

The Roxanna Booth Scholarship Committee of the First Presbyterian Church of Kenova desires the following information concerning the qualification of:

______, Applicant

All information will be treated as confidential. Please include a transcript.

Student ranks #_____in a graduating class of _____students with a GPA of______.

Does the student qualify for the Promise Scholarship?_____ Status______

Has the student applied for FAFSA? ______Status______

Has the student been granted other financial aid? ______If yes, provide details ______

______

Scores: ACT (composite)______SAT (composite)______

Student’s declared career goal ______

Has the student applied to a Health Science program? _____ Status______

Name of school ______Accepted______

Name of program______Accepted______

Remarks: ______

Counselor______Signature______Date ______