HEBRON MEMORIAL SCHOLARSHIP

APPLICATION MUST BE MADE TO THE CHAIRMAN OF THE HEBRON MEMORIAL SCHOLARSHIP COMMITTEE BEFORE FEBRUARY 1, 2008

MAIL TO: JO ANNE REID, CHAIR

P.O. BOX 420

                ACKERMAN, MS 39735

NAME____________________________________________________ AGE_________

ADDRESS________________________________________PHONE_______________

CITY____________________________ZIP_____________SSN __________________

GRADUATED FROM______________________________YEAR_______GPA______

(HIGH SCHOOL/COLLEGE)

_________________________________________________YEAR______GPA______

_________________________________________________YEAR______GPA______

DEGREE TO BE PURSUED________________________________________________

FROM _________________________________________________________________

(COLLEGE/UNIVERSITY)

EXPECTED COMPLETION DATE __________________

ENDORSEMENTS: GFWC/MFWC CLUB MEMBERS

(1)__________________________________________ _________________________

(2)__________________________________________ _________________________

(3)__________________________________________ _________________________

ATTACH RECOMMENDATIONS AS TO SCHOLARSHIP, CHARACTER, AND QUALITIES OF LEADERSHIP FROM THREE (3) ADDITIONAL PEOPLE.

INCLUDE A BRIEF STATEMENT (MAXIMUM OF 2 PAGES) RELATED TO YOUR PAST ACCOMPLISHMENTS, FUTURE PLANS FOLLOWING GRANTING OF THIS DEGREE, AND WHY YOU FEEL YOUR AREA OF SERVICE IS NEEDED IN MISSISSIPPI.