Dawson Independent School District
199 N. School Ave. - Dawson, Texas 76639 - 254.578.1031 - 254.578.1721 (FAX) -
Dawson General Scholarship Application
Dawson Independent School District – 199 N. School Ave. - Dawson, Texas 76639 254.578.1031 – 254.578.1721 (FAX) -Revised 1/20/2016
Dawson General Scholarship Application
Approved and Accepted by the Following Organizations
Dawson Lions Club
Dawson Ex-Students Association
Dawson Garden Club
Dawson Area Youth Sports Association (DAYSA)
Name of Applicant: ______
Criteria and Selection Information
Your application will be submitted to the 4 organizations on the front page for their consideration. Each organization determines its own eligibility and selection criteria. Although each organization may place more or less weight on certain considerations, the general considerations will be as follows:
Financial Need
Leadership
Moral Character
Specific Interest
Academic Achievement
Community Involvement
Work Ethic
Instructions for Submitting Application
1)Application
Please print. Answer all questions that apply to you. If you need more space, you may use a supplemental page. Please turn into Sheryl Bragg, DHS Counselor, when done.
2) Transcript
Please attach or have forwarded an official transcript from all high schools or colleges previously attended.
3) Reference Letters
Please submit two (2) letters of recommendation.
4) Scholarship Funds Release
The awarding organization will release funds after notification of admission and enrollment into an accredited college, university, or other institution of higher learning.
APPLICATION DEADLINE IS April3rd, 2017
Personal Data
Date of Application _____ / _____ / 20____ US Citizen? YES / NO
Name ______
FirstMiddle Last Social Security Number
Present Address ______(_____) ______- ______
Street Home Phone Number
______(_____) ______- ______
City State Zip Code Cell Phone Number
Educational Information
Class Rank _____ of _____ GPA ______ACT Composite Score ______SAT Composite Score ______
What college do you plan to attend? ______
What is your proposed major? ______
Have you applied? YES / NOHave you been accepted? YES / NO
What is your career goal?
______
______
______
Involvement Information
Please list any sports that you have participated in during your High School career. Please place a check in the corresponding box for each year that you participated.
Sport 9 10 11 12 What was your involvement in the sport?
Please list any extracurricular activities that you have participated in during your High School career. Please place a check in the corresponding box for each year that you participated.
Activity 9 10 11 12 What was your involvement in the activity?
Please list any awards that you received during your High School career. Please place a check in the corresponding box for each year that you received it.
Award 9 10 11 12 What was the award for?
Family Information
Name ______
FirstMiddle Last Relationship
Present Address ______(_____) ______- ______
Street Home Phone
______(_____) ______- ______
City State Zip Code Cell Phone
Employer ______Job Title ______
Name ______
FirstMiddle Last Relationship
Present Address ______(_____) ______- ______
Street Home Phone
______(_____) ______- ______
City State Zip Code Cell Phone
Employer ______Job Title ______
Financial Information
Estimated expenses for freshman year? ______
Do you plan to work while in college? YES / NO Where will you live? ______
Do you work now? YES / NO Employer ______
Do you plan to continue working with your current employer after you start college? YES / NO
Do you or your family have funds set aside for college expenses? YES / NO
Have you applied for financial aid using the FASFA form? YES / NO
Have you received any other scholarships? YES / NO How many? 1 2 3 4 5 Other ______
State any information concerning your own or your families situation that would be helpful in assessing your needs for this scholarship.
______
______
______
______
Explain what your reasons are for attending college, why you would like to receive a scholarship, and your personal life goal.
______
______
______
______
______
______
______
______
Signature: ______Date: ______/ ______/ 20_____
1 | Dawson General Scholarship Application