JANE W. MEYER MEMORIAL SCHOLARSHIP
MAIL THIS APPLICATION TO:
ROBIN HILL
710 BROWNS LANE
FRANKFORT, KENTUCKY 40601
DEADLINE: November 1, 2014
This Scholarship will be presented at the KHSAA 8th Region Competition on
Saturday, November 22, 2014 at Shelby County High School.
IT IS VERY IMPORTANT TO INCLUDE A COMPLETED APPLICATION
YOU MUST MAKE SURE THE FOLLOWING ITEMS ARE SENT WITH YOUR
APPLICATION:
 COPY OF OFFICIAL TRANSCRIPT SIGNED BY THE GUIDANCE COUNSELOR
 COACH’S RECOMMENDATION LETTER
 THE PRINCIPAL RECOMMENDATION LETTER.
*If only one applicant for scholarship; applicant must meet minimum requirements in all areas.
JANE W. MEYER MEMORIAL SCHOLARSHIP
CHEERLEADING
NAME_________________________________
HIGH SCHOOL___________________________________
ADDRESS____________________________________________________ PHONE ___________________
CHEERLEADING EXPERIENCE _____________________________________________________________
__________________________________________________________________________________________
COACH/SPONSOR NAME _________________________________________________________________
G.P.A. _____________ ACT COMPOSITE SCORE ___________ CLASS RANK _______ OF __________
(GPA, ACT and class rank must be completed by guidance office and initialed by a school counselor.)
WHERE DO YOU PLAN TO ATTEND COLLEGE? _____________________________________________
(MUST BE A KENTUCKY SCHOOL)
MAJOR _________________________________________________________________________________
FATHER'S NAME ________________________________________________________________________
PLACE OF EMPLOYMENT ________________________________________________________________
MOTHER'S NAME ________________________________________________________________________
PLACE OF EMPLOYMENT ________________________________________________________________
NUMBER OF OLDER BROTHERS ___________ NUMBER OF OLDER SISTERS ____________________
NUMBER OF YOUNGER BROTHERS ___________ NUMBER OF YOUNGER SISTERS ______________
TOTAL NUMBER OF FAMILY MEMBERS PRESENTLY LIVING AT HOME _______________________
TOTAL FAMILY INCOME PER MONTH _____________________________________________________
EXTRA CURRICULAR ACTIVITIES _________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
AWARDS AND HONORS __________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
WHY DO YOU FEEL THAT YOU DESERVE THIS SCHOLARSHIP? ______________________________
_________________________________________________________________________________________
__________________________________________________________________________________________
LIST ANY UNUSUAL CIRCUMSTANCES WHICH MIGHT AFFECT THIS AWARD ?
__________________________________________________________________________________________
__________________________________________________________________________________________
________________________________________________________________________________
ATTACH A COPY OF YOUR OFFICIAL HIGH SCHOOL TRANSCRIPT SIGNED BY THE GUIDANCE
COUNSELOR AND A LETTER OF RECOMMENDATION FROM YOUR COACH/SPONSOR AND
PRINCIPAL.