SHADY VALLEY CRANBERRY SCHOLARSHIP APPLICATION

(Please type or print clearly.  Additional pages may be attached)

Applicant’s Name _______________________________      Date of birth _____________

Address _______________________________________    Phone number ___________

Mother’s Name  _________________________________

Address  _______________________________________

               _______________________________________

Employer ______________________________________

Position    ______________________________________

Father’s Name  __________________________________

Address  _______________________________________

               _______________________________________

Employer  ______________________________________

Position  _______________________________________

I.                    High School Information:

A.     List any special honors or recognition you have received in either school or community:

B.     List significant high school and community activities as well as any leadership positions you have held in each:

C.     List work experience—including part-time and summer jobs.  Give name of supervisor:

D.     Grade Point Average (GPA):

II.                 College Information:

Give a brief summary of your college plans.  Include your choice of college or technical school and how this school will help you attain your career goals.

III.               Financial Information:

A.     Give reasons for your financial need in relationship to college expenses:

B.     Itemize other sources of financial aid you may have for college tuition:

IV.              References:

Attach three letters of recommendation

      --two from faculty members

      --one from a personal non-relative acquaintance

            I understand that if I am awarded the Cranberry Festival Scholarship that

all funds will go directly to the college upon proof of my enrollment at said

college.

________________________________________                __________________

                       (student)                                                                                                 (date)

________________________________________                __________________

                                (parent)                                                                                                  (date)

Mail application to:

Shady Valley Cranberry Festival Scholarship Committee

P.O. Box 44

Shady Valley, Tennessee 37688

Shady Valley Cranberry Scholarship

Scholarship selection criteria:

1.       Resident of Shady Valley

2.      Previous student of Shady Valley Elem.

3.      Johnson County High School graduate or equivalent

4.      Financial need

5.      Enrolled in post-secondary school

6.      Grade point average (GPA) minimum of 2.5

7.      Good citizenship