Bcms Scholarship Application 2009

Scholarship & Incentive Awards Application Applications must be typed or neatly printed in black ink and completely filled out.

Date:

NAME: Last

First

M.I.

Male/Female

ADDRESS: City:

State:

PHONE:

Zip:

CELL:

EMAIL: PARENT(S)/GUARDIAN NAME: WHAT FAMILY BRANCH ARE YOU? Check [  ] one: Brown _____

Chisholm _____

Mitchell ____

Scott ____

--Academic Record-HIGH SCHOOL:

TELEPHONE:

ADDRESS: Street

City

GRADE POINT AVERAGE:

RANK IN CLASS:

LIST COLLEGE/UNIVERSITY ACCEPTANCES: 1. 2. 3.

COLLEGE YOU PLAN TO ATTEND:

ANTICIPATED MAJOR:

COMMUNITY ACTIVITIES: 1. 2. 3. 4. 5.

SCHOOL ACTIVITIES: 1. 2. 3. 4. 5.

State

List any awards /recognition / publicity you have received for your academics, athletics and/or community service achievement: 1. 2. 3. 4. 5. Please include the following information to your application by July 10, 2009: A. Completed Application B. Official Transcript C. Essay (one-page, typed and double spaced, stating why you are deserving of the Family Scholarship) D. Proof of College Acceptance Mail Completed Application Packets to: BCMS Family Reunion , c/o Scholarship Selection Committee, 14625 Baltimore Avenue, #137, Laurel, MD 20707

Selection of recipient(s) will be made on the night of Family Banquet – July 25, 2009

Zip