T.J. Hailey Scholarship Application 2013

7/30/2019 T.J. Hailey Scholarship Application 2013

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Eastridge Community Church

Application for ScholarshipT.J. Hailey Annual Scholarship

Mail application to:

Eastridge Community Church

T.J. Hailey Scholarship Committee

863 Hwy. 142 EastCovington, Ga. 30014

As we have opportunity, let us do good unto all men, especially unto them who

are of the household of faith.

Galatians 6:10

In 2003, Eastridge Community Church and the family and friends of T.J. Hailey established a

scholarship fund in his honor. T.J.s life was cut short by a tragic car accident on March 26,2003. With this scholarship fund being created, T.J.s life and memory will live on by helping

others which T.J. spent his entire life doing. Applicants must be a member of

Eastridge Community Church and meet the attached criteria.

THE DEADLINE TO APPLY IS SUNDAY MAY 26, 2013 (Application can be mailed in prior to

this day or dropped off at the Information Center this day no later than noon.)


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What will the scholarship cover?

The T.J. Hailey Scholarship will offer two (2) $1,000.00 dollar scholarships each year. The

recipients will be recognized during the Sunday morning second service at Covington

Campus on June 9, 2013. Checks will be mailed to the school upon verification of enrollment.

Who should apply?

Outstanding High School Seniors and students already enrolled in college may apply. We willaward one (1) $1,000.00 scholarship to a high school senior and one (1) $1,000.00

scholarship to an existing college student. Preference will be given to first time applicants, but

returning applicants (not recipients) are welcome to apply. Applicant must be a member of

Eastridge Community Church.

Application Process:

1. Fill out the application form, sign, and mail to the address on the front cover.

2. Have your parents or guardian fill out and sign the Financial Statement section of the

application form.

3. Include two letters of current recommendation. The two letters should come from

individuals who have a good knowledge of your moral character, achievements and

potential. One recommendation should be from a church official and one from a person other

than a relative.

4. Include a copy of your latest high school transcripts if a graduating senior, a copy of grades

if you are already enrolled in college, and your ACT or SAT results.

5. Include a personal essay. It may be 150 words or less, handwritten. Your career

objectives, how college ties into that, how Eastridge has impacted your life, and how you

expect to contribute to society can form the basis of your essay. The essay provides a way in

which to become better acquainted with you, by means other than your achievements, by

enabling you to demonstrate your ability to organize your thoughts and express yourself

clearly.

Checklist-Include all items listed below:

_____Complete application

_____Financial Statement, may include IRS form

_____Letter of Recommendation from Church Official

_____Letter of Recommendation from person other than a relative

_____High School Photo or Other Photo

_____High School Transcript or College Grades and ACT and/or SAT results

_____Handwritten and signed personal essay


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Please Type or Print all responses in ink.

Full name of applicant:___________________________Social Security #_________________

Name by which applicant prefers to be addressed:___________________________________

Home address:________________________________________________________________

Home telephone number:________________________Date of Birth:____________________

Parent or Guardian:____________________________________________________________

Address (if different from above):_________________________________________________

Name of High School:___________________________________________________________

Address:_____________________________________________________________________

Overall Grade Point Average:_______________

Performance on National Tests-One Required:

American College Test (ACT) Composite Score____________ Last Date Taken:______________

Scholastic Aptitude Test (SAT) Math and Verbal Score____________ Last Date Taken:________

College or University You Plan To Attend: (Limit Two)

__________________________________

Date Applied:_____________________ Date Accepted:_______________

__________________________________

Date Applied:_____________________ Date Accepted:_______________

Academic Honors, Awards and Leadership Positions categorized as follows:

(use additional pages if needed)

Elected Positions:______________________________________________________________

Volunteer Positions:____________________________________________________________

Club Membership:_____________________________________________________________

Academic Honors:_____________________________________________________________

Work Experience:______________________________________________________________

Other Awards and Honors:_______________________________________________________

____________________________________________________________________________

Signature of Applicant:__________________________________Date:___________________


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General Information

Name of Father:______________________________________ Age:____________

Employer:_________________________________ Employers Phone:___________________

Employers Address:____________________________________________________________

Name of Mother:_____________________________________ Age:____________

Employer:_________________________________ Employers Phone:___________________Employers Address:____________________________________________________________

Name and Ages of Other Dependent Children:

_______________________________________ ___________________________________

_______________________________________ ___________________________________

Other Children in College:_________

Amount of Other Scholarships Committed to Applicant: $_______________

Source of Income

Father Mother

Salary

Bonuses & Commissions

Dividends & Interest

Real Estate Income

Other Income-Itemize

TOTAL INCOME

ASSETS LIABILITIES

Notes Payable

I hereby certify that the above information is complete and accurate.

_____________________________________________________________

Signature of Parent or Guardian

Total Liabilities and Net Worth

Net Worth (Total Assets-Total Liabilities)

TOTAL LIABILITIES

TOTAL ASSETS

T.J. Hailey Scholarship Application 2013

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