2016 Scholarship Application and Information
for High School Seniors and Continuing Education Dependents
Scholarship
Information
The Dyess Spouses’ Club is a private volunteer organization serving Dyess Air
Force Base. The club has a long-standing tradition of offering an annual
scholarship to military spouses and dependents. Awards are based upon
scholarship, leadership, and citizenship. Our goal is to identify and reward
outstanding students.
Judging
Once all packets are received, they are judged by an impartial panel comprised
of local university faculty and staff. The results are compiled by the DSC
Scholarship Committee to determine the amount of money given to each winner.
Packets are kept anonymous throughout the entire judging process.
Eligibility
Applicants must meet ALL of the following criteria:
*Seeking an undergraduate or graduate degree at an accredited
four-year college or university in the summer or fall of 2016
*A married legal spouse, dependant child of an active duty, retired, or deceased
military member assigned to Dyess AFB or from Dyess AFB area.
*Have not received a prior scholarship from DSC
*May not be receiving scholarships in excess of the cost of tuition, room
and board, books, and fees.
Applications must be complete and submitted by mail, postmarked on or before
Friday, March 4th, 2016 to the address below.
Delivery &
Deadline
Contact
Dyess Spouses’ Club
ATTN: Elsa Reyna/Scholarship Chairperson
PO Box 9594
Dyess AFB, TX 79607
Elsa Reyna, Scholarship Chair
elsa.reyna@yahoo.com
(850)748-2163
DSC Website: http://www.dyessspousesclub.com/
Paperclip (do not staple) these items in the following order.
Application Form
Complete and sign agreement at bottom.
Official School Transcripts
Official copies of your high school/college transcripts (all schools attended within last 4 years)
Official copies of your SAT/ACT scores or entrance examinations.
Education and Experience Data Sheet
Please complete the education and data sheet and attach it. Remember to use the last four digits of
your social security in the upper right hand corner for identification.
Letters of Recommendation
Submit two letters of recommendation. It is recommended that one letter be from a previous/current
teacher and the other from an individual, other than a family member, who can comment on your
character and potential for academic success.
Essay
Write an essay in response to the question below:
How has being a military dependent affected the way you see the world and the role you will
choose to play within it?
Your essay will be scored based on its content, focus, unity, organization, spelling and grammar. The
essay must meet the following guidelines: typed in 12 pt. Times New Roman font, double
spaced, 1-inch margins, two (2) page maximum. To ensure anonymity, do not include your
name on OR in the essay. As an alternative, please include the last four digits of your SSN in the
upper right hand corner of each page.
Application Packet Checklist
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o
o
o
o
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Completed and Signed Application Form
Official School Transcripts
Official copies of SAT/ACT scores or entrance exams
Education and Experience Data Sheet
Two (2) Letters of Recommendation
Typed Essay-2 page maximum
DSC Scholarship Application
Please print clearly in blue or black ink.
Applicant Information
Name (Last, First, Middle): ____________________________________________________________
Date of Birth: ______________________ SSN (last four digits only): XXX-XX-___________________
Home Address: _____________________________________________________________________
E-Mail: _________________________________________ Phone: ____________________________
High School Currently Attending: _______________________________________________________
College Attending (if known): __________________________________________________________
Anticipated Total Scholarship/Award Money: ______________________________________________
Sponsor Information
Name (Last, First, Middle): ____________________________________________________________
Status (check one):___Active Duty ___Retired Military ____Deceased
Birthdate: ________________________ Date Served: ______________________________________
Address (if different than applicant): ____________________________________________________
Phone: _______________________________ Work Phone: _________________________________
I certify that the information in this application is complete and accurate to the best of my knowledge
and that the accompanying essay is the applicant’s own work. I understand that application
information will be used to confirm my scholarship eligibility. I give the Dyess Spouses’ Club
Scholarship Committee permission to review my transcripts and school records with the
understanding that all information will be confidential. I understand the decisions of the DSC
Scholarship Committee are impartial and final. If I accept a Dyess Spouses’ Club Scholarship, I agree
to abide by and fulfill all requirements. Should I not fulfill these requirements, I agree to return all
scholarship money awarded to me.
Applicant’s Signature: ____________________________________ Date: _____________
Education and Experience Data Sheet
SS# XXX-XX-_________
Academic Information/Honors
High School Attended: _________________________________ Graduation Date: _______________
College (if applicable): _________________________________ Graduation Date: _______________
Graduate School (if applicable): ________________________________________________________
Cumulative GPA: ___________
List all honors or achievements (both academic and non-academic) received in the last 4 years.
Honor/Award
Reason for Award
Date Received
Extracurricular Activities
Clubs, sports, student government, school paper, yearbook, etc.
Activity
Number of Years
Offices Held and/or Awards Received
Community Involvement and Volunteering
Organization, Committee, Community Activity
Duration
Work Experience
Employer
Position
Hours Per Week
**If additional space is needed, applicants may attach further documentation,
which utilizes the above format.