Dumas Education Foundation, Inc. Dumas High School Graduate Continuing Education Scholarship Information and Criteria Deadline: June 29, 2015 Check the scholarships for which you wish to apply. You may check more than one. _______The DEF Paulus and Opal Schroeter Scholarship $1000 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 24 hours of college credit. _______The DEF R.H. Moser Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 24 hours of college credit. ______The DEF Jewell Foster Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 24 hours of college credit. ______The DEF Eula Vick Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 24 hours of college credit. ______The DEF Gene Ledbetter Memorial Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 40 hours of college credit. ______The Murphy Memorial Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 40 hours of college credit. ______The Mike and Beth Salim Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 40 hours of college credit. ______The Lawrence Bussard Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 18 hours of college credit. ______The Gene Sipes Memorial Scholarship $500 Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 18 hours of college credit. ______The Jeremy J. Rivera Memorial Scholarship Criteria: For continuing education at an accredited institution. Applicant must have successfully completed 40 hours of college credit. Please add an addition essay “What It Means To Me To Live Life To The Fullest” $500 ______The Bruce Smith Scholarship for Leadership Excellence Criteria: For continuing education at an accredited institution. Applicant must have successfully Completed 40 hours of college credit. The student must be majoring in the agriculture field. $500 _______The Billie Faye Schumacher Scholarship Criteria: For students attending Amarillo College, Moore County Campus $500 _______The Greg and Denise Fangman Mills Scholarship Criteria: Applicant must have successfully completed 24 hours of college credit. $500 _______The Santiago “Jimmy Saenz” Memorial Scholarship Criteria: Applicant must have successfully completed 24 hours of college credit. $500 APPLICATION FOR DUMAS EDUCATION FOUNDATION, INC. SCHOLARSHIP Dumas High School Graduate For Continuing Education at an Accredited Institution (Must have successfully completed 18 hours of college credit or more.) Please type application. Each appropriate blank should contain a response. If the answer is "None" or "Not-applicable," so indicate. A. STUDENT INFORMATION Name of Student __________________________________________________________________________________ First Middle Last Permanent Home Address__________________________________________________________________________ Street or P. O. Box City Zip Code Home Phone_________________________Parents Home and cell phone numbers___________________________ Cell Phone_________________________Email Address__________________________________________________ COLLEGE and Address of the Financial Office _________________________________________________________________________________________________ _________________________________________________________________________________________________ Have you made application for admission?_____________ Have you been admitted?______________________________________ How many years have you attended college?_____________________ Date you plan to re-enter college________________________ _______________ Semester Year Field of Study ____________________________________________________________________________________ Do You Live: With Parents? ________ College Housing?_______ Provide Own Housing?_____________ High School from which you graduated ________________________________Graduation Date ______________ Social Security Number______________________________Date of Birth____________________________________ Texas Resident _____Yes _____No Father's Full Name_______________________________________________________ Living? _____Yes _____No Father's Occupation_______________________________________________________________________________ Mother's Full Name_______________________________________________________ Living? _____Yes _____No Mother's Occupation_______________________________________________________________________________ Number of siblings currently attending college_________________________________________________________ Spouse’s Full Name_______________________________________________________________________________ Spouse’s Occupation______________________________________________________________________________ List below all prizes, awards, honors, and special recognition’s you have received during college and the year you received them. ______________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ List below all the extra curricular (outside classroom) in which you participated during your college enrollment, such as athletics, dramatics, school publications, social clubs, etc., including school offices you have held. ________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ List any employment experience during your college enrollment, including dates you were employed. ________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ List below the activities in your community, church, volunteer organizations, etc. in which you have participated during the past two years. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ List any reasons for special considerations or hardships________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Are you presently applying for any other college scholarships? If so, list the name and amount of each scholarship. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ List the scholarships, awards and grants previously awarded in the last two years and the amount of each. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ I certify and represent that the information submitted in this application is true and correct and that falsifying any information will immediately terminate my eligibility for a scholarship or any scholarship, which I might receive. Date_________________________________ Applicant's Signature_________________________________________ B. THE FOLLOWING SUPPLEMENTAL INFORMATION MUST ACCOMPANY YOUR APPLICATION: All the information listed below is required for the scholarship committee to review your application. 1. Attach an official transcript of your college records. The college transcript must indicate your grade average through the last semester completed prior to applying for this scholarship. 2. In 250 words or less submit a typewritten narrative indicating your present college plans and your future career plans. This statement should include some of the following but is not limited to these questions. What is your planned field of study? Why did you choose this field? What do you plan to do career-wise? What are your goals or future expectations? 3. Any of the above supplemental information not accompanying the application will result in the disqualification of the applicant from consideration. COMPLETED APPLICATION FORMS WITH THE REQUIRED SUPPLEMENTAL INFORMATION SHOULD BE MAILED TO THE FOLLOWING ADDRESS: Dumas Education Foundation, Inc. P O. Box 615 Dumas, TX 79029 If you have any questions, call Shawn Frische at 930-1336 APPLICATION AND SUPPLEMENTAL INFORMATION MUST REACH THE DEF OFFICE PO Box 615, Dumas, TX 79029 BY June 29, 2015
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