Wills Point High School Justin Dugger Scholarship Scholarship
DUE Wednesday, May 24th, 2017
Wills Point High School Justin Dugger Scholarship Scholarship Application Full Name: ______________________________________________ Home Address: __________________________________________ Phone#: ________________ City: _________________ State: _____________ Zip: __________ DOB: _____________ Father’s Name: ____________________________ Mother’s Name: ____________________________ Wills Point High School 1800 W. South Commerce Wills Point, TX 75169 903-873-5100 903-873-6008 (fax)
Mr. Jeffrey Smith, Principal Mr. Brian Clements, Assistant Principal Mrs. Stacy Morris, Assistant Principal Mrs. Tamica Collard, Counselor Mrs. Gina Carpenter, Counselor Graduation Date: May 27, 2017
Justin Dugger Scholarship Criteria: Applicant must be a graduating senior of Wills Point High School The award is based on a combination of community service, leadership, and/or special talents and skills Applicants must be pursuing a career in the medical field Transcript with GPA and Class Rank
List all colleges/universities to which you have applied or been accepted. Please include addresses. Place an * next to the school you plan to attend College/University Address Applied/Accepted __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Planned major/field of study: _________________________________ Start Date: ______________ Planned completion Date: __________________ Planned Career: ____________________________
Application Certification: I certify that all statements made in this application from are true, complete, and correct to the best of my knowledge and believe, furthermore, these statements are made in good faith. Signature: ________________________________________
Date: _________________________
List School Activities/Organizations in Which You Have Been Involved. Activity Position Held Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List Scholastic/School Related Honors or Awards Honor or Award Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List Community/Organizational Activities in Which You Have Been Involved Activity Position Held Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List Community/Organizational Related Honors or Awards Received Honor or Award Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Volunteer Service in School/Community Service Place Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Employment Experience Employer Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Additional Comments (list hobbies, interests, future plans, unique experiences, etc.) __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
Wills Point High School Justin Dugger Scholarship Scholarship Application Full Name: ______________________________________________ Home Address: __________________________________________ Phone#: ________________ City: _________________ State: _____________ Zip: __________ DOB: _____________ Father’s Name: ____________________________ Mother’s Name: ____________________________ Wills Point High School 1800 W. South Commerce Wills Point, TX 75169 903-873-5100 903-873-6008 (fax)
Mr. Jeffrey Smith, Principal Mr. Brian Clements, Assistant Principal Mrs. Stacy Morris, Assistant Principal Mrs. Tamica Collard, Counselor Mrs. Gina Carpenter, Counselor Graduation Date: May 27, 2017
Justin Dugger Scholarship Criteria: Applicant must be a graduating senior of Wills Point High School The award is based on a combination of community service, leadership, and/or special talents and skills Applicants must be pursuing a career in the medical field Transcript with GPA and Class Rank
List all colleges/universities to which you have applied or been accepted. Please include addresses. Place an * next to the school you plan to attend College/University Address Applied/Accepted __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Planned major/field of study: _________________________________ Start Date: ______________ Planned completion Date: __________________ Planned Career: ____________________________
Application Certification: I certify that all statements made in this application from are true, complete, and correct to the best of my knowledge and believe, furthermore, these statements are made in good faith. Signature: ________________________________________
Date: _________________________
List School Activities/Organizations in Which You Have Been Involved. Activity Position Held Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List Scholastic/School Related Honors or Awards Honor or Award Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List Community/Organizational Activities in Which You Have Been Involved Activity Position Held Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List Community/Organizational Related Honors or Awards Received Honor or Award Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Volunteer Service in School/Community Service Place Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Employment Experience Employer Dates __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Additional Comments (list hobbies, interests, future plans, unique experiences, etc.) __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
