Junior Guild
of Rocky Mount
Junior Guild Scholarship
Junior Guild of Rocky Mount, Inc.
Scholarship Application Guidelines
The Junior Guild Scholarship was established to provide funds for young women residing in the
The recipient must supply a certified copy of her grade to the
Each applicant must submit the attached application form accompanied by the following items:
ALL INFORMATION MUST BE RETURNED BY March 31, 2010 TO:
Dionne Seale
Scholarship Application
Applicant’s Full Name: __________________________________ Telephone: ____________
Address: ____________________________________________________________________
Full Name of Parent or Guardian: _________________________________________________
Address (If different from above): _________________________________________________
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Name and ages of children in family: ______________________________________________
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Are any of these children enrolled in a college or university? ____________________________
If so, give the name(s) of any student(s) and college or university: _______________________
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Applicant’s High School: ______________________________ Graduation Date: __________
Does Applicant work? ______________ If so, state employer’s name and address, hours of
employment and a brief job description: ____________________________________________
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To which colleges and universities has the Applicant applied? __________________________
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Which ones have notified Applicant of acceptance? __________________________________
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Proposed course of study: ______________________________________________________
List all financial aid (loans, other scholarships, etc.) for which Applicant has applied: _________
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List financial aid that Applicant has been granted so far: _______________________________
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Father’s Occupation: _________________________________ Annual Income: $__________
Mother’s Occupation: _________________________________ Annual Income: $__________
(If either are unemployed, please state last occupation and income.)
Other Income or Resources: _____________________________________________________
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Unusual Financial Conditions: ___________________________________________________
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School Achievement and Extracurricular Activities (feel free to attach another page if needed):
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