AUSTIN STEWART FERRELL MEMORIAL SCHOLARSHIP FUND

Student Scholarship Application

Austin Stewart Ferrell, of Buies Creek, was a 2011 graduate of Harnett Central High School. Austin died November 10, 2013, in an automobile accident on Neills Creek Rd. and will always be remembered for his positive attitude, compassion, generosity and love for life. He had a unique ability to connect with people of all ages. He never met a stranger. His smile, so full of love, his heart, always full of care for the people around is how we all remember him. Austin would always have a joke or funny story to tell whenever you saw him and we loved his positive fun-loving attitude. He would make little loud noises when you least expect it that would somehow scare you and his laugh was contagious. He is missed by so many. Austin was an example to everyone he met of how to live life. His memory will live on in our heart forever.

Applicant Name (Print):

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AUSTIN STEWART FERRELL MEMORIAL SCHOLARSHIP FUND

STUDENT APPLICATION FORM

GUIDELINES

NOTE: Be sure to read guidelines and application carefully and include all necessary attachments and forms. The forms must be typed. Scholarships may be used for tuition, books and fees. Scholarship funds will be available after June1, 2018once the scholarship has been awarded. Expenses incurred prior to the award date will not be reimbursed.

AUSTIN STEWART FERRELL MEMORIAL SCHOLARSHIP FUND awards a scholarship annually in the amount of $500.00. Scholarships are awarded on the basis of financial need, initiative andacademic achievement.

To qualify, the scholarship applicant must:

A.Be a citizen of the United States.

B.Be a graduating Harnett Central High School Student

C.Submit a completed application with the following attachments:

1.Photograph (Optional)

2.One-page biographical sketch on “How This Scholarship Will Help Me Meet My Goals and Further My Education.”

3.Most current official high school transcript which he/she is currently enrolled, to include grade-point average, standing in class, scholastic aptitude test scores and other pertinent information.

4.One (1) letter of recommendation as outlined below:

a)One (1) letter of recommendation from high school counselor or teacher which should describe that student’s activities and leadership record in school, personal traits, character, initiative, home background and student’s financial need.

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AUSTIN STEWART FERRELL MEMORIAL SCHOLARSHIP FUND

2017 ~ 2018

STUDENT SCHOLARSHIP APPLICATION FORM

The candidate is to complete the application, attach a small photograph, secure the required attachments as listed in the guidelines

and return all materials to the Harnett Central High School CounselorDepartmentby the due dateMay 7th 2018. Must Be Typed.

EDUCATIONAL AND PERSONAL DATA Date of Application

Full Name Mr/Miss/Mrs

(Last) (First) (Middle)

Permanent Address:

Birthday / / Phone # () U.S. Citizen YES NO

Name and Address of School You Now Attend

School You Plan to Attend __ Date of Semester You Enrolled/Plan to Enroll

Career Objective

If more room is required, you may attach one additional sheet to answer all of the questions below. If you use an additional sheet, please type “See Attached” on this application form under the appropriate question.

What Honors, Achievements or Recognition Have You Received During Your High School/College Years?

Extracurricular Activities In School (Include year you participated)

Community, Church, or Civic Activities

Name Two or Three Hobbies or Special Interests

Have You Been Employed Part-Time After School or in the summer? If so, list your jobs:

FINANCIAL ANALYSIS

Applicant‘s Gross Annual Income $

Father/Guardian Gross Annual Income $

Mother/Guardian Gross Annual Income $

Total Income$

Number Of Dependent Brothers and Sisters Are Any Of These Attending College? If Yes, Where? Other Dependents (Explain Relationships)

Anticipated Annual Expenses For tuition, Books, & Supplies $

I certify the above information to be true and correct.

______

Signature of Applicant

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AUSTIN STEWART FERRELL MEMORIAL SCHOLARSHIP FUND

AUSTIN STEWART FERRELL MEMORIAL SCHOLARSHIP FUNDAPPLICATION FORM(Continued)

This Form Must Be Typed

“How This Scholarship Will Help Me Meet My Goals And Further My Education”

(Include Statement of Financial Need)