2019 Brooks Scholarship Application

2019 Scholarship Application Award:   Two $5,000.00 scholarships (one male & one female) Who can apply:  Duval County Public School seniors Student Name: _____________________________________________________________ Cell Number: (      )_______________________Email ____________________________ Address: _______________________________________________________________                       (Street)                                   (City)                          (State)                (Zip) Parent(s): _______________________________________________________________ High School: _______________________________________________________________ GPA:

______________Minimum unweighted GPA 3.0

SAT Score: _____________ (Combined)  ACT Score: ______________(Composite)      (do not include writing) Community Service Hours ____________  Organizations: _______________________ ___________________________________________________________________________ ___________________________________________________________________________ MINIMUM REQUIREMENTS  Must be pursuing a degree in Medicine or a related field like Athletic Training, Physical,  Occupational or Speech Therapy  Submit two Letters of Recommendation  Must have written proof of at least 75 community service hours   Must submit a copy of college acceptance letter & an official high school transcript  Must submit a 200­300 word essay on: “Why I chose Sports Medicine, Physical Therapy,  Occupational Therapy, or Speech Therapy and how I want to make a difference in my  community (Times 12pt)  Must provide a signed W­9 Form prior to receiving the Scholarship Check

____________________________________               Student Signature                                                 

_____________________  

Date

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Principal Signature

Date

Mail completed applications to: Mrs. Tammie K. Talley, District Athletic Director           District Athletic Office                                                       1720 Lansdowne Drive Rm. 365 (#86 B) Jacksonville, FL 32207

For questions, email [email protected]  Completed applications must be received in the District Athletic Office  before 11:59 p.m. on Thursday, April 4th