CLEO JENKINS & BONNIE DEJARNETT

2017 SCHOLARSHIP

CHECK LIST

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  1. COMPLETED APPLICATION______
  1. COMPLETE COPY OF 2015-2016

FEDERAL STUDENT AID REPORT

(SAR)______

  1. OFFICIAL HIGH SCHOOL TRANSCRIPT

INCLUDING ACT SCORES______

  1. COPY OF COLLEGE TRANSCRIPT

( IF APPLICABLE )______

5.LETTER OF RECOMMENDATION______

6. TYPEWRITTEN NARRATIVE OF

SCHOOL AND CAREER PLANS______

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TURN THIS CHECK LIST IN WITH YOUR APPLICATION ON OR BEFORE APRIL 24, 2017.

ALL OF THE ABOVE ITEMS MUST BE INCLUDED. APPLICATIONS RECEIVED WITH INCOMPLETE INFORMATION WILL NOT BE CONSIDERED.

2017SCHOLARSHIP APPLICATION

PLEASE CHECK SCHOLARSHIPS YOU ARE

APPLYING FOR

CLEO JENKINS SCHOLARSHIP

BO BONNIE DEJARNETT SCHOLARSHIP

NAME OF STUDENT______

LAST FIRST MIDDLE

HOME ADDRESS______STREET CITY STATE ZIP CODE

MAILING

ADDRESS ______

E-MAIL ADDRESS ______

HOME TELEPHONE______CELL PHONE______

DATE OF BIRTH______SEX______

SOCIAL SECURITY #______MARITAL STATUS______

LENGTH OF RESIDENCE IN DALLAM OR HARTLEY COUNTY______

HIGH SCHOOL______GRADUATION DATE______

COLLEGE/TECHNICAL SCHOOL YOU ANTICIPATE ATTENDING:

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DATE YOU PLAN TO ENTER COLLEGE/TECHNICAL SCHOOL______

FATHER’S FULL NAME______

FATHER’S OCCUPATION______

MOTHER’S MAIDEN NAME______

MOTHER’S OCCUPATION______

SPOUSE’S NAME (IF APPLICABLE)______

SPOUSE’S OCCUPATION______

LIST BELOW ACTIVITIES IN WHICH YOU PARTICIPATED DURING THE LAST TWO YEARS, SUCH AS ATHLETICS, CLUBS, SCHOOL OFFICES, EMPLOYMENT HISTORY, ETC.

(USE SEPARATE SHEET OF PAPER IF NECESSARY)

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LIST BELOW ALL AWARDS, HONORS, AND SPECIAL RECOGNITIONS YOU HAVE RECEIVED. (USE SEPARATE SHEET OF PAPER IF NECESSARY)

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LIST ALL SCHOLARSHIPS AND AWARDS ALREADY AWARDEDAND AMOUNT OF EACH.

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ARE YOU PRESENTLY APPLYING FOR ANY OTHER SCHOLARSHIPS? IF SO, LIST THE NAMES AND AMOUNT OF EACH SCHOLARSHIP.

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PLEASE FURNISH THE FOLLOWING:

  1. A complete official transcript of your high school record, indicating your grade average through the last semester completed; or a copy of your GED Certificate.
  2. A copy of your ACT test scores.
  3. A letter of recommendation from your high school principal, teacher, and/or counselor or if in college, recommendation from a college professor or counselor.
  4. In two pages or less double spaced, submit a typewritten narrative indicating your college or technical school plans. This statement should include at least the following but is not limited to the following:

What is your planned major?

Why did you choose this field of study?

What do you plan to do career-wise?

What are your goals or future expectations?

5.A completecopy of your 2017-2018 Free Application for Federal Student Aid Report (FAFSA). This report must be received by the Scholarship Board, along with your application NO LATER THAN 5:00 P.M. APRIL 24, 2017.

FAFSA statement reports may take as long as six weeks to completely process. You mustfile your FAFSA request early in order to meet the April 24 deadline. The report must include the EFC Number (Expected Family Contribution) and must beprinted with the name and/or social security number on the same page.If the internet printout does not have the name and EFC Number on the same page, it is unacceptable. You must then obtain a paper SAR by calling the FederalStudentAidInformationCenter at 800-433-3243 or 319-337-5665, or by e-mail at . You can also write to Student Financial Assistance, P.O. Box 84, Washington, DC20044.

The 2017-2018 Free Application for Federal Student Aid (FAFSA) packet is available from your high school counselor.

Recipient applications will be selected by the Scholarship Board and presented to the Dalhart City Council for approval.

Applications must be submitted to the Dalhart City Manager’s Office, 205 Rock Island, no later than April 24, 2017. The mailing address is P.O. Box 2005, Dalhart, Texas 79022.

CLEO JENKINS

AND

BONNIE DEJARNETT SCHOLARSHIPS

TO: Cleo Jenkins and Bonnie DeJarnett Scholarship Applicants

RE: Free Application for Federal Student Aid

Please review the following information when preparing your Cleo Jenkins and/or Bonnie DeJarnett Scholarship Application.

The information needed for the Cleo Jenkins and Bonnie DeJarnett Scholarship Application must include:

FAFSA Application

SAR Report with EFC Number (Expected Family Contribution)

Please note, the information printed from the FAFSA web-page must have the name and/or social security number printed on the same page as the EFC Number.

If you are using the online FAFSA application and report, you must request the paper SAR to submit with your Scholarship application. Students can request a paper SAR by calling the Federal Student Aid Information Center at 800-4-FED-AID (800-433-3243) or 319-337-5665 between 8:00 a.m. and midnight (eastern time) Monday through Friday, 9:00 a.m. to 6:00 p.m. Saturday, or by e-mail at .

The paper SAR may also be requested by writing to Student Financial Assistance, P.O. Box 84, Washington, DC20044. Make sure to include the student’s name, date of birth, complete address, Social Security Number and award year on all correspondence.

SCHOLARSHIP PLEDGE

If I receive a scholarship, I pledge to adhere to the regulations and policies of the college or school I am attending. I understand that this

scholarship requires that I contract with the college or school to faithfully perform the provisions which the designated college or school may require, meet the scholastic standards of the institution as required of all students, to attend classes regularly and complete the semester/term in which I am enrolled. All scholarships are subject to the approval of the Scholarship Board.

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Applicant’s SignatureDate