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2010 ENTRY FORM
MIDDLE TENNESSEE ASSOCIATION OF REALTORS®
REALTOR® SCHOLARSHIP APPLICATION
($1000 Scholarship)
(One year - $500 per Semester starting with Fall Semester, 2010)
______________________________________ High School
I, ________________________________ will graduate this spring and plan to continue my education in college starting with the fall of 2010. If I am chosen as a recipient of this program, I understand that in order to accept this award I will attend Middle Tennessee State University, Motlow State Community College (or one of its satellite locations) or any Tennessee State Technology Center during the fall semester of 2010 and the spring semester of 2011.
STUDENT'S HOME ADDRESS:
Street ________________________________________ City ______________________ State ____ Zip ________
Telephone __________________________ S. S. # ___________________
HIGH SCHOOL NAME: ___________________________________
HIGH SCHOOL ADDRESS:
Street/City/State/Zip________________________________________
Telephone __________________________
This is to certify that I have known _____________________________ for at least one semester. From this acquaintance and association, I certify that (he) (she) is of good moral character. I further testify that the applicant has shown a definite interest in furthering (his) (her) education and would be deserving of this award.
________________________________________ Principal
________________________________________ Guidance Counselor
________________________________________ Teacher
________________________________________ Teacher
I certify that all information contained in this application is correct.
________________________________________ Signature of Applicant
Date ____________________ Signature of Parent or Guardian ________________________________________
Counselor's Academic Report for Applicant
(This information is to be completed by the applicant's principal or counselor.)
College entrance examination score: ACT ________ SAT __________
(ACT composite or SAT combined score)
Applicant's cumulative high school GPA (grade point average) excluding spring semester senior year. ________________
(Note: If your school uses a 5.0 GPA system, please recalculate GPA using a 4.0 base. MTSU requires a 3.0 GPA, or a 22 ACT, or a 2.7 GPA with a 19 ACT for admission.)
Please list applicant's classes for Sophomore – Senior years. Note any Honors classes.
______________________________________, Principal or Guidance Counselor
Date ____________________________
Student Personal Information
Financial Need: In the space provided, please indicate your family's adjusted gross income from last year's tax return.
______ under $15,000 ______ $30,000 to $35,000
______ $15,000 to $20,000 ______ $35,000 to $50,000
______ $20,000 to $25,000 ______ over $50,000
______ $25,000 to $30,000
Total number of family members living at home: _______
Number of dependents in your parents' family including yourself: ______
Children: _______Ages: ________________ # attending college: ________
Other financial considerations which need to be noted:
_______________________________________________________
_______________________________________________________
_______________________________________________________
How do you plan to fund your college education?
_______________________________________________________
_______________________________________________________
Have you applied for or been awarded any other scholarships? _____________________
If so, please explain:
_______________________________________________________
_______________________________________________________
Extracurricular Activities: List any clubs, organizations, community or church activities in which you have participated, # of years involved, offices held or recognitions received.
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Work Experiences:
Are you currently employed? _____ YES _____ NO
If yes, what type of work and how many hours per week?
_______________________________________________________
_______________________________________________________
Describe your other work activities (such as family farm, helping at home, family business, etc.):
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
STUDENT NARRATIVE
In the space provided below, please describe in 75 words or less, in your own words and handwriting, why you want to be the recipient of the Association of REALTORS® Scholarship, the course of study or major field of interest you plan to follow, your proposed occupation or profession, and any other abilities you have that were not previously mentioned in this application.
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
**** Scholarship Finalists will be contacted for personal interviews with the Scholarship Committee.
RETURN COMPLETED APPLICATION WITH NON-RETURNABLE PHOTO (for promotional use only) TO YOUR HIGH SCHOOL GUIDANCE COUNSELOR PRIOR TO April 1, 2010 AND TO MTAR BY APRIL 9, 2010. Guidance counselors, mail ATTN: Scholarship/ 311 Butler Drive/Murfreesboro, TN 37127
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Scholarship
