Women’s Club of Accomack Co. ESCC Scholarship
Application 2015
Dear Applicant,
The Women’s Club of Accomack County is awarding one (1) $1,000.00 scholarship to a
FEMALE adult/returning student from the Eastern Shore of Virginia attending the
Eastern Shore Community College studying the fields of science, technology,
engineering, mathematics, medical sciences (including two (2) or four (4) year
nursing programs) or education.
This application must be postmarked by April 15, 2015, and mailed to Mrs. Judith
Graham, 10396 Highland Ct., Exmore, VA 23350.
The awards ceremony for this scholarship will be held on June 18, 2015, at 12:00 PM at
the Women’s Club clubhouse on Richmond Ave., Onley. It is expected that the winner
and a family member will make every effort to attend. If you have any additional
questions please call Mrs. Graham at 631-379-9225.
Name:______________________________________________________________
Address:____________________________________________________________
Phone Cell:_________________________Home:___________________________
Email (Please print):____________________________________________________
High School and Year of Graduation:______________________________________
Intended Field of Study:_________________________________________________
Alternative contact information:
Name:_________________________________Relationship:___________________
Street or PO Box______________________________________________________
City, State, Zip:_______________________________________________________
Telephone:___________________________________________________________
With this application you are to submit:
1. A current transcript
2. An acceptance letter from ESCC or a letter indicating you are a student in good
standing
3. Two (2) letters of recommendation. One (1) from a teacher, guidance counselor or
administrator from ESCC and (1) attesting to your personal character. These
letters are to be in a SEALED ENVELOPE from the individual offering the
recommendations.
The following may be answered in the space provided or on an attach separate sheet
1. List all extra curricular and community activities.
2. List all academic awards, achievements and honors
3. List all work experiences
.
Essay: Attach as a separate TYPED Page
In a minimum of two paragraphs but no more than three, answer one of the
following questions:
1. What life experience has compelled you to return to college as an adult student?
2. How would this scholarship positively impact your education and career goals?
I certify that the answers I have provided are true and accurate to the best of my
knowledge and that the essay is my own original work. I give permission for the
Women’s Club of Accomack County to use my photograph or image in publicizing this
scholarship. I understand all scholarship money will be sent directly to the registrar of the
ESCC.
Signature:________________________________Date:____________________
Circle ‘Yes’ or ‘No’ to indicate you have attached each required item:
YES NO Completed and signed the application form
YES NO Included two (2) character references
YES NO Copy of your acceptance letter from ESCC or letter indicating you are
currently a student in good standing at ESCC
Yes NO If applicable, a copy of your recent transcript from ESCC noting your GPA
Mail completed application to: Mrs. Judith Graham, 10396 Highland Ct., Exmore,
VA 23350