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WILLIAM H. SAMPLE MEMORIAL
SCOUT SCHOLARSHIP
2015 APPLICATION
NAME ______________________________________________________________________________________
ADDRESS ___________________________________________________________________________________
___________________________________________________________________________________
TELEPHONE __________________________________
REGISTERED IN (Troop/Crew/Post) ________________________
COLLEGE ACCEPTANCE: 1.______________________________________________________
2.______________________________________________________
A.
B.
C.
TO BE CONSIDERED FOR THIS SCHOLARSHIP, YOU MUST MEET THE FOLLOWING
REQUIREMENTS:
1.
Be a registered Boy Scout, Venturer or Explorer active in your unit.
2.
Be a senior in high school.
3.
Be accepted by either a two or four year college.
TO APPLY, THE INDIVIDUAL MUST SUBMIT A WRITTEN STATEMENT ON THE FOLLOWING:
1.
Describe how you have demonstrated leadership skills in Scouting and in your personal life.
2.
Describe how you exhibited involvement in your community service.
3.
As you reflect on your Scouting experience, what lesson(s) have you learned to help you
throughout life.
TWO (2) LETTERS OF RECOMMENDATION:
1.
One from your unit’s Scoutmaster, Crew Advisor, Post Advisor or Committee Chairperson.
2.
One from your high school principal.
MAIL APPLICATION TO:
William H. Sample Scholarship Committee
Suffolk County Council, BSA
7 Scouting Boulevard, Medford, NY 11763
APPLICATION DEADLINE EXTENDED:
POSTMARKED BY MAY 15, 2015
NOTE: IF SELECTED, YOUR SCHOLARSHIP WILL BE AWARDED IN PERSON AT THE ANNUAL
WILLIAM H. SAMPLE MEMORIAL GOLF OUTING ON JUNE 15, 2015. THE SCHOLARSHIP IS $1,000. THE
CHECK WILL BE PAYABLE TO THE COLLEGE YOU ATTEND.
Forms/ Sample Scout Scholarship