The Carroll E. Furlong Memorial Scholarship Fund
APPLICATION FORM
Scholarship Amount is $500.00 (Non-renewable)
One $500.00 scholarship will be awarded annually. The scholarship is in the total amount of $500.00.
Scholarship funds will be paid directly to the educational institution upon written proof of enrollment in the name of the
recipient. Normally, half of the money amount ($250) is paid upon submission of satisfactory acceptance at an
accredited college. The remainder is usually given upon registration for the second semester.
Scholarship Requirements and Selection
Criteria:
1) The applicant must be a student who is seeking a degree from college.
2) Grade point average of 3.0 or higher.
3) Two letters of recommendation (each in a sealed envelope included with application): one from a principal,
counselor, coach or teacher from a Barren County District school (high school or elementary).
4) Essay: On a separate sheet, please provide an essay (500 words or less, typed and double-spaced). Essay should be
original and genuinely express the feelings and thoughts of the applicant.
The essay topic is: describe one school person who has made a lasting impression on you and how they have
influenced your decision to pursue a teaching career. Examples: Principals, Coaches, Teachers, Counselors,
Instructional Assistants, Cafeteria Workers, Custodians, Volunteers are a few of the school personnel that can be
used.
Completed scholarship application should be submitted to your high
school guidance counselor by April 1st of each school year.
Personal Information:
1. Full Legal Name
2. Male:
Female:
3. Date of Birth:
4. Social Security Number:
5. Married:
Single:
6. Telephone Number:
7. Parent Name (s):
8. Home Address:
City:
State:
Zip: