PO Box 212
Jefferson City, Missouri 65102
www.jccdfy.org
573-636-2411
Dear Scholarship Applicants;
Please be sure that you submit the completed application to your counseling office
or directly to CDFY at the address listed above no later than February 20th.
Please make sure your application includes:
 1 written essay
 2 short paragraphs
 2 letters of recommendation
Your application MUST include all required components and be submitted on time
to be considered for this award.
We award (1-5) $500.00 scholarships to qualifying seniors based upon the essay
and your interview.
We also are involved in the decision making process for the Kindred Spirit
scholarship which is a $1000.00 scholarship to a drug free senior going into the
medical field.
If you have any questions please contact CDFY @ (573) 636-2411.
Sincerely,
Joy Sweeney
Executive Director
Council for Drug Free Youth
PO Box 212
Jefferson City, Missouri 65102
www.jccdfy.org
573-636-2411
Council for Drug Free Youth Scholarship
Deadline: February 20, 2015
Amount: $500.00 (given to one student)
Eligibility: Any graduating senior who has remained drug free, who is involved in school or community
activities and has at least a 2.0 GPA. Drug free means you have NEVER USED tobacco products, alcohol,
and/or other illegal drugs at ANY time (family function, wedding, special occasion, etc.).
Last Name: ___________________________ First Name: ____________________ MI: ____
Address: _______________________________ City: __________________ Zip: __________
Social Security Number: ________________________________ Birth date: _______________
Name of father/guardian: ________________________________________________________
Name of mother/guardian:________________________________________________________
Where do you plan to attend school? _______________________________________________
(Scholarship will be sent to the school you attend.)
School/Community Activities (inc. drug-free activities example: DARE, Show Me Players):
_____________________________________________________________________________
_____________________________________________________________________________
Please attach the following:
1. A one page type written paper on: Why I have chosen to be drug free?
In addition, write a paragraph on each of the following: How would you solve the drug problem in Jefferson
City? and How do you plan to stay drug free in college?
2.
Two letters of recommendation from community people (church leaders, employer, neighbor, etc. – not a
school employee) which include a character reference about your drug free lifestyle, leadership, leadership
capabilities, and character.
Please note: After the scholarship is narrowed down to the final few students from each school, a personal
interview will be held with each student. These students will be invited to attend the Council for Drug Free Youth
Dinner on Thursday, March 26th @ 6pm in the Truman Hotel.
To the best of my knowledge, my child has never used drugs or alcohol.
Parent Signature:______________________________________________
To be completed by High School Counselor:
7th Semester GPA is _____/4.0
ACT Composite Score _____
Signature of High School Counselor: _______________________________________ Date: __________