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Janie Hammit Memorial Scholarship SCHOLARSHIP APPLICATION

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Janie Hammit Memorial Scholarship

SCHOLARSHIP APPLICATION

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Information Sheet

The Janie Hammit Memorial was created in 1916 by G.W. Hammit for the purpose of founding

and establishing a children’s home, and as a memorial for his daughter. His intent was to promote

the welfare and education of disadvantaged children in Bristol and Washington County, Virginia.

While the children’s home is no longer in operation, the memorial and mission continues. The goal

of the scholarship is to reduce the financial barriers children may encounter when entering higher

education.

When to apply

The application must be postmarked by March 15 for the current award year. The Janie Hammit

Memorial Board meets in April to consider awards.

Who should apply

Any John S. Battle High School student with a demonstrated financial need, a cumulative high

school GPA of at least a 2.5 planning to enroll in a University, four year college, community

college, vocational/technical school, trade school, or other short-term training program such as

automotive technology, HVAC certification, nursing assistant certification, etc. is eligible to apply.

U.S. foster children, former foster children, orphans, homeless, or children who suffered the loss of

a parent or parents through death or abandonment after infancy are strongly encouraged to apply.

Selection criteria

Merit factors include perceived need, academic work, extracurricular activities, community and

volunteer activities, and work experience.

Award availability

Scholarships are issued as a onetime award up to $2,500

Students must provide proof of acceptance to the program stated in the application. Checks are

made payable to the institution for the use of the student in defraying the cost of the students

education.

Application instructions

The following materials must accompany your application in order for your package to be

complete (Please do not send materials separately):

ï‚·

High School / College Transcript

ï‚·

Two recommendations from teachers (Applicant recommendation forms are included)

ï‚·

College Costs

ï‚·

Copy of the FAFSA

Please send your application to:

Janie Hammit Memorial

P.O. BOX 605

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PERSONAL INFORMATION

STUDENT NAME Mr/Ms_

First Middle Initial Last

ADDRESS

city/town state zip code

(_ ) (_ )

home phone cell phone

BIRTHDATE / /

HIGH SCHOOL / /

name state anticipated graduation date

SCHOOL for which scholarship

will be used / /

name state anticipated graduation date

SCHOOL is 4 yr. college/university 2 yr. college _vocational/tech school

I will be a _freshman sophomore junior senior

I will be enrolled _full time halftime or more (6+cr) less than halftime

FIELD OF STUDY

TUITION COST PER YEAR_______________________________________________

ACTIVITIES: List community and school activities in which you have participated in the past 4 years. Include sports, student government, volunteer projects, etc. (Attach an additional sheet if necessary.)

Activity How Long? Special Honors

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WORK EXPERIENCE

Employer How Long? Num. Hrs. per Week Position Held

/ to_ /

/ to_ /

/ to_ /

ADDITIONAL INFORMATION Parents marital status:

single married separated divorced widowed

Total number of family members who will be attending college at least half-time during the coming academic year_ .

CERTIFICATION:

I certify that the information on this form is true and complete to the best of my (our) knowledge. If asked, I (we) agree to give documentation for information given on this form. I (we) realize that failure to comply with a request for further information may prevent the applicant from receiving the award.

/ /

Applicant signature Date

/ /

Parent (or guardian) signature Date

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WRITE a statement of your plans as they relate to your educational and career objectives and future goals (attach another sheet if necessary).

PLEASE DISCUSS how your family or personal circumstances have affected your achievement in school, at

work, or your participation in school and community activities, (attach an extra sheet if necessary).

TRANSCRIPT

1. Please include a high school transcript.

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TO BE FILLED OUT BY A SCHOOL OFFICIAL:

Student Name: _____________________________

Will this student receive other scholarships? _____ Yes ______ No

If so, what is the amount they will be receiving? ___________________

Cumulative GPA_ ACT

(4.0 scale) Reading English Science Math

or

SAT _______ _ ________

Critical Reading Math

(ACT or SAT scores not required for Community College or Trade School students)

/ /

Signature Title Date

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APPLICANT RECOMMENDATION

Have this section completed by a school teacher.

Note to Teacher: To insure confidentiality, please return to student in a sealed envelope with your signature across the seal.

Note to Student: An appraisal received with a broken seal will be rejected. Please be sure that your appraiser has sealed and signed the envelope.

Student’s name

CHECK APPROPRIATE CHOICE

The applicant’s choice of a

Post-secondary education extremely very moderately

Program is appropriate appropriate appropriate inappropriate

The applicant’s

Achievements reflect extremely very moderately

his/her ability _well well well not well

The applicant’s ability to set realistic and

attainable goals is excellent good fair poor

The quality of the applicant’s commitment to school

is excellent good fair poor

The applicant is able

to seek, find and use extremely very moderately

learning resources well well well _not well

The applicant demonstrates extremely very moderately

curiosity and initiative well well _well not well

The applicant demonstrates good problem-solving skills,

follows through and extremely very moderately

completes tasks well well well not well

The applicant’s respect

For self and others is excellent good fair poor

Additional comments (attach a separate sheet if necessary).

/ /

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APPLICANT RECOMMENDATION

Have this section completed by a school teacher.

Note to Teacher: To insure confidentiality, please return to student in a sealed envelope with your signature across the seal.

Note to Student: An appraisal received with a broken seal will be rejected. Please be sure that your appraiser has sealed and signed the envelope.

Student’s name

CHECK APPROPRIATE CHOICE

The applicant’s choice of a

Post-secondary education extremely very moderately

Program is appropriate appropriate appropriate inappropriate

The applicant’s

Achievements reflect extremely very moderately

his/her ability _well well well not well

The applicant’s ability to set realistic and

attainable goals is excellent good fair poor

The quality of the applicant’s commitment to school

is excellent good fair poor

The applicant is able

to seek, find and use extremely very moderately

learning resources well well well _not well

The applicant demonstrates extremely very moderately

curiosity and initiative well well _well not well

The applicant demonstrates good problem-solving skills,

follows through and extremely very moderately

completes tasks well well well not well

The applicant’s respect

For self and others is excellent good fair poor

Additional comments (attach a separate sheet if necessary).

/ /

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