Dennis Jones Memorial Minority Scholarship Application
12907 Cloverdale Lane, Clermont, Florida 34711
APPLICATIONS MUST BE RECEIVED By Monday, April 1, 2013
1. Applicant MUST have a sincere interest in attending a post secondary institution.
2. Applicant must be a graduating senior from either South Lake/East Ridge/Lake Minneola
High Schools.
3. Applicant must submit one letter of recommendation from a teacher or community leader.
4. Applicant must submit a one page essay on, “Why I Want to Attend to College.”
5. Applicant must submit an official copy of their High School transcript.
Instructions:
1. Fill out the application accurately and complete all items.
2. Mail the completed application, along with all other requested items to:
Mrs. Lucressie D. McGriff
Scholarship Committee Chair
12907 Cloverdale Lane
Clermont, Florida 34711
Applicant ______________________________________ Age _________
DOB______________
Applicant’s High School __________________________________________________________
Mailing Address ________________________________ City _______________ Zip __________
Parent(s) / Guardian (s) ___________________________________________________________
Occupation (s) __________________________________________________________________
Number of brothers/sisters ______________
Number in school __________________________
Family’s yearly income ______________________
Other financial assistance received __________________________________________________
Applicant’s Prospective Major _____________________________________________________
Church Affiliation _______________________________________________________________
Community and/or School Involvement (use separate sheet if needed)_________________
_________________________________________________________________________________
Academic Grade Point Average (grades 9-12) _____________________
Current G.P.A. _________________ SAT Score _______________ACT Score ______________
Number in Graduating Class_____________________ Class Rank_________________________
Guidance Counselor’s Signature (required) ___________________________________________
Student’s Signature ______________________________________________________________
Note: Amount varies….. Applicant may receive up to $1,000.00.