ࡱ> 352U bjbjnn *"aa #,,8$q44JJJNNN$1fNNNNNJJ+N"JJNJ0fp"A0qM"MM(NNNNNNqNNNNMNNNNNNNNN,B n: CHAD EARNHART MEMORIAL SCHOLARSHIP BY FRIENDS AND FAMILY The applicant must be enrolled/admitted to a college, junior college, technical or trade school. There will be two(2) Scholarships in the amount of $500.00 each, which will be payable to the student after they have provided proof of enrollment to the Scholarship Committee. - Student (Applicant) Name:_______________________________________ (Last) (First) (Middle) Address:__________________________________Telephone:____________ Parent or Guardian: Father Name:_________________________Occupation:_____________ Mother Name:_________________________Occupation:_____________ Class Rank:____________Of____________ GPA:___________/4.0 Scale School of Applicants choice for which Scholarship is requested: Name:___________________________Address:________________________ City:_____________________State:__________Telephone:____________ Have you been accepted?__________Anticipated Major:_____________ What Degree/Certificate are you seeking?________________________ What other scholarship aid are you seeking?_____________________ (If so, what are the amounts?)_________________________________ Are you a 21st Century Scholar?______________________ Estimated Expenses for the FIRST YEAR? Tuition:_____________________Room & Board:______________________ Students Contribution (Approximately Saved):____________________ Do you plan on working while in college?________________________ Please list any academic honors/awards:_________________________ ________________________________________________________________ ________________________________________________________________ Please list any extracurricular activities(such as sports, band, choir, etc.)and any awards/honors achieved in that activity:____ ________________________________________________________________ ________________________________________________________________ Please list any community (work, church, etc.) activities:______ ________________________________________________________________ ________________________________________________________________ Briefly describe your educational and/or professional goals for the next 10 years:______________________________________________ ________________________________________________________________ ________________________________________________________________ Please attach the following to this application: Please write a one(1) page essay explaining how and why Chads Scholarship would influence or impact your post educational experience. As well as how this Scholarship will help your families financial obligations.     Page  PAGE 1  "#:<M O & ' ( h j } ~ ̼xiVCxx$h5CJOJPJQJ\^JaJ$h5CJOJPJQJ\^JaJh5CJOJQJ\aJhCJOJPJQJ^JaJhOJPJQJ^JhOJQJhCJOJQJaJ'h5>*CJ$OJPJQJ\^JaJ$h5>*CJ$OJQJ\aJ$'h5>*CJ,OJPJQJ\^JaJ,h5CJ,OJQJ\aJ,h5>*CJ,OJQJ\aJ,#;<N O ' ( i j ~   F G M N $a$   E G L N   H J e j p r 67wy~DFJLղ$h5CJOJPJQJ\^JaJh5>*CJOJQJ\aJ$h5CJOJPJQJ\^JaJh5CJOJQJ\aJhCJOJQJaJhCJOJPJQJ^JaJ:   I J q r 7xyEFKL <#H$$a$˿taRa<*h;A5OJPJQJ\^JmHnHu*h5OJPJQJ\^J%jh5OJPJQJU\^Jh5OJQJ\h&hCJPJ_HaJmHnHsHtHh^jh^U7hB*CJOJQJ^J_HaJmHnHphsHtHhCJOJQJaJ$h5CJOJPJQJ\^JaJ$h5CJ OJPJQJ\^JaJ h5CJ OJQJ\aJ h^h7hB*CJOJQJ^J_HaJmHnHphsHtHh5OJQJ\(jh5OJPJQJU\^J*(/ =!"#$%` s    2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph Fontdid  Table Normal.a44l44l (k (No List .U . Hyperlink>*tot Header & Footer  <#1B*CJOJPJQJ^J_HaJmH phsH tH VoV Body1B*CJOJPJQJ^J_HaJmH phsH tH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w<v " """%    %!  8c?#" Ԕ@H 0(  0(  B S  ?   C;A^ @ @UnknownG.[x Times New Roman5Symbol3. .[x Arial75 CourierI Arial Unicode MSEHelvetica NeueA$BCambria Math"hԃԃ< < !  )0]} 0  (0[{0 0 000)000579;=?ACGY[]b #(C2!xx Nicole CardinalNicole Cardinal Oh+'0d   , 8DLT\Nicole CardinalNormalNicole Cardinal2Microsoft Office Word@@S@S<  ՜.+,0 hp  JCSC   Title  !#$%&'()+,-./014Root Entry Ff61TableMWordDocument*"SummaryInformation("DocumentSummaryInformation8*CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q