GPA(1)_____ APPLICATION FOR SCHOOL YEAR 2012-2013 Date ____________
GPA(2)_____
“COX EDUCATIONAL FUND”
____I have attached to my application a certified transcript of high school grades with final
grade point average.
____I have attached to my application an acceptance letter from college.
____I am in college and have attached my grades from the last semester showing my cumulative
GPA.
Name _______________________________________________________________________________
Address _____________________________________________________________________________
Birthdate ____________________ Age ________ Phone _____________________________________
Father’s Name ____________________________ Address ___________________________________
Mother’s Name ___________________________ Address ____________________________________
Occupation of Father _______________________ Mother ___________________________________
Name and occupation of spouse, if married _______________________________________________
Taxable Income for Family $___________________________________________________________
How many people are depending upon the above income for at least ½ of their support? _________
High School _____________________________ Graduation Date _____________________________
Are you in college? _______________________ What year have you completed? ________________
LIST FINANCIAL AID
Amount applied for
Received
1. __________________________________________________________________________________
2. __________________________________________________________________________________
3. __________________________________________________________________________________
4. __________________________________________________________________________________
What other financial obligations do you have? _____________________________________________
_____________________________________________________________________________________
Name and address of school you want to attend ____________________________________________
_____________________________________________________________________________________
What course of study do you wish to pursue? ______________________________________________
_____________________________________________________________________________________
2012-2013 COX EDUCATIONAL FUND – 2
MISCELLANEOUS INFORMATION
List high school activities (clubs, sports, leadership, etc.). If already in college, list college activities.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
List any awards won in high school, college, or other organizations.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What is your prime ambition for the future? ______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I affirm that I will use my funds I receive from “The Cox Educational Fund” for the continuance of my
education. At the end of each semester, I will furnish a copy of my grades.
_______________________________________
Applicant’s Signature
Approved by Cox Scholarship Committee _________________________
Denied by Cox Scholarship Committee
_________________________
COX EDUCATIONAL FUND SCHOLARSHIP GUIDE
The following guidelines for the award of scholarship funds:
The will of A. M. Cox, founder of this scholarship fund, states in pertinent part as
follows: “. . . for the education of worthy girls and boys of Harrison County desiring
an education, but who lack the means of accomplishing their desire.” In
determining “worthy,” we consider (1) scholarship, (2) leadership, (3) character, and (4)
need, with no quality being more important or given any more weight than
any other.
1. All scholarships shall be awarded on an annual basis, and shall be for only one academic
year. EACH APPLICANT SHALL REAPPLY ANNUALLY.
2. The Scholarship Committee will make disbursement of scholarship funds only after
receipt of official notification of acceptance from the college or other school of the
student’s choice.
3. All payments of scholarship funds will be made directly to the school.
4. If for any reason a student receiving a scholarship award drops out of his/her school, and
if, as a result, the school refunds any of the monies previously paid to it, such monies
shall be repaid to the Cox Educational Fund.
5. The recipient of a scholarship award must meet the standards for academic qualifications
set by the school which he/she is attending, must carry the minimum number of hours to
be considered a full-time student, and must maintain a “C” or 2.0 point cumulative
average under a 4.0 grade point system.
6. The student’s record must be reviewed either on a semester or quarterly basis depending
upon the school calendar. In order that a scholarship award be continued, the student’s
scholarship record and his/her record on campus must be satisfactory in the opinion of the
Scholarship Committee. If the committee determines that the record of the scholarship
recipient is such that he/she will not successfully complete the requirements for
graduation, the Committee may terminate the scholarship award for such a student.
7. The Scholarship Committee may supplement these reports by direct communication with
the registrar or student counselor or other appropriate officials of the school.
8. THE SCHOLARSHIP GRANT WILL BE TERMINATED IF THE STUDENT FAILS
TO NOTIFY THE SCHOLARSHIP COMMITTEEE AT THE END OF EACH
SEMESTER.
9. Application must be complete for student to be considered as an applicant.
RETURN SCHOLARSHIP APPLICATION BY MAY 1st