Olive Merlin and Jacqueline Dulworth Scholarship Application

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Olive Merlin & Jacqueline Dulworth
BUILDING TRADES SCHOLARSHIP
ELIGIBILITY REQUIREMENTS
 Applicant must be under age 21.

Applicant must have graduated from Jackson Public Schools or is graduating from JPS in 2016.

Applicant plans to pursue a 2- or 4-year degree in the building trades or construction industry which
may include, but is not limited to, heating and cooling, electrical, or plumbing.
OR
Completed 60 hours of Builders Prelicensure and is applying for a Michigan Builders License.
OR
Received a Michigan Builders License and needs to purchase tools to use in the building trades or
construction industry.
OR
Has a job offer in the building trades or construction industry and needs to purchase tools.
SCHOLARSHIP AWARD:
APPLICATION DEADLINE:
Up to $1,000
March 1, 2016
First Name:
Middle Initial:
Last:
Permanent Address:
Apt. #
City:
State:
Email:
Zip:
Birthdate:
Home Phone:
Do you live with a parent or guardian?
Cell Phone:
Yes 
No 
If you answered yes to the previous question, please complete the next three questions:
Parent or Guardian Name:
Parent/Guardian Phone Number:
Parent or Guardian Email:
Have you received this scholarship before?
 Yes
 No
If yes, for what purpose? (Select all that apply)  College Tuition
EDUCATION INFORMATION
High School:  Jackson High School
 T. A. Wilson Academy
 Michigan Builders License
 Tools
Graduation Year:
Did you complete the Jackson Area Career Center’s Construction Trades program?
 Yes
 No
Did you participate in the Community Action Agency’s Youth Build Program?
 Yes
 No
ESSAY
Please briefly explain why you chose to pursue a career in the building trades or construction industry. (Use
additional paper if needed).
APPLICATION PACKAGE
ALL application packages must include the following:
 Completed Application
 Academic Transcript: High school seniors and college students, please provide a transcript that
includes the fall semester or trimester for the current academic year. If you have already graduated
from high school or college, please provide your final transcript. Transcripts can be obtained from
your high school counseling office or college records office.
 Letter of Recommendation: Please provide a letter of recommendation from a teacher, counselor,
principal, coach, employer, or neighbor. Choose someone who knows you and who can write about
your character, performance, personal attributes and your ability/determination to reach your goal.
(Letters from family members will not be accepted.) Make sure the person who writes the Letter of
Recommendation signs the letter.
 Please Note: Once you make your scholarship selection on the next page, some additional pieces of
information may be required.
SCHOLARSHIP SELECTION
Please select one of the following:
 I plan to pursue a 2- or 4-year degree in the building trades or construction industry which may include,
but is not limited to, heating and cooling, electrical, or plumbing.
College you plan to attend (or are attending):
Field of Study:
Prior recipients of the Olive Merlin & Jacqueline Dulworth Scholarship can reapply through the regular
application process. To be eligible, prior recipients must carry at least a 2.5 GPA. Like all applicants,
prior recipients need to submit a Letter of Recommendation (from an instructor or advisor at the
college) and their most recent transcript.
If you have received this scholarship before for tuition, what is your College GPA?
---------------------------------------------------------------------------------------------------------------------------------------------- I have completed 60 hours of Builders Prelicensure and am applying for a Michigan Builders License.
(A total scholarship of $295 will be awarded to cover the cost of the license application and State exam,
(i.e. $195 to the State of Michigan for the application and $100 to PSI for the exam.)

With your application package, please provide proof of having completed 60 hours of Builders
Prelicensure. (For example, if you completed the Jackson Area Career Center’s Construction Trades
Program, please provide a copy of your Completer’s Certificate. If you expect to complete the
Jackson Area Career Center’s Construction Trades Program before June 2015, please include a letter
verifying it from a JACC instructor or adviser.)
---------------------------------------------------------------------------------------------------------------------------------------------- I have received a Michigan Builders License and need to purchase tools to use in the building trades or
construction industry.

With your application package, please provide a copy of your current Michigan Builders License.
---------------------------------------------------------------------------------------------------------------------------------------------- I have a job offer in the building trades or construction industry and need to purchase tools.

With your application package, please provide a letter from your potential employer indicating the
need for tools.
DEADLINE AND SUBMISSION PROCESS
The completed application and all attachments must be postmarked or hand-delivered by 5:00 PM on
March 1, 2016 to: Jackson Community Foundation, One Jackson Square, Suite 308, Jackson, MI 49201-1406
QUESTIONS?
Contact the Jackson Community Foundation by calling 517-787-1321 or the College & Career Access Center
at 517-990-0671.
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