Kathleen Fitzgibbons DeVeer (MHS `31) and Richard S

MEDFORD Chamber of Commerce
One Shipyard Way, Suite # 302, Medford, Massachusetts 02155
Telephone: 781-396-1277, Fax: 781-396-1278
E-mail: [email protected]
www.medfordchamberma.com
CHERYL WHITE MEMORIAL SCHOLARSHIP
One scholarship in the amount of $2000.00
------------------------------------------------------------------------------------------------------------------------------Requirements:
 Student must be a City of Medford resident graduating senior entering a trade school or 2/4 year
college.
 Student must have a Grade Point Average of 2.5 or better.
 Student must have a history of active involvement in athletics or other extracurricular activities
or work experience.
 Student must have shown a commitment to their community through a minimum of 100 hours of
meaningful community service/work experience during their high school years.
 One letter of recommendation (LOR) from a faculty member, community organizer, or employer who
has worked with applicant for a minimum of 1 year. LOR must include the reference’s name, address,
telephone number, and information regarding how long and in what capacity he or she has known the
applicant.
________________________________________________________________________________
Name of Applicant: ________________________________________________________________
Home Address: ___________________________________________Telephone: _______________
Date of Birth: ______________ Number of Years in Medford School System: _________________
Father’s Occupation: _______________________ Mother’s Occupation: _____________________
*Schools to which you have applied for admission: ________________________________________
________________________________________________________________________________
________________________________________________________________________________
*List your extra-curricular activities (both in and out of school)/community service and/or work
experience: ______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Please submit a double-spaced typed 500-750 word essay focusing on “Who is a civic
leader/humanitarian that you admire and why”.
This application, and any other documentation, along with your High School Transcript, must be returned
to Janet Donnelly, Executive Director, Medford Chamber of Commerce, One Shipyard Way, Ste.# 302,
Medford, MA 02155 no later than May 18, 2015.
*This information may be submitted on a typed document.