BRAZORIA COUNTY BUSINESS HALL OF FAME SCHOLARSHIP APPLICATION for the CLASS OF 2015 This application is for the Junior Achievement of Brazoria County Scholarship and the Albert P Beutel Scholarship. JA’s main goal is to educate and inspire young people to value free enterprise, business, and economic fundamentals to improve the quality of their lives. It is our intent to have one recipient (Current Junior) from each public high school in Brazoria County, provided a minimum number of students apply from each school. Recipients will be notified on or before August 18, 2014 and will be asked to attend, with their parents, the Brazoria County Business Hall of Fame dinner scheduled on September 18, 2014 to receive their scholarship. One recipient may be asked to read his/her essay at this dinner. Name of Student:_________________________School:_________________________ Home Address:___________________________City:________________Zip:_______ Phone#_________________________ E-Mail address:__________________________ College Choice (s) 1.__________________________________ 2.__________________________________ Intended field of study:____________________________________________________ Career goal/Objectives: ________________________________________________________________________ ________________________________________________________________________ Number of children in the family __________ Ages ___________________________ Father's Name_________________________Employer _________________________ Job Title_____________________________ Mother's Name________________________Employer__________________________ Job Title_____________________________ Your Summer or After School Work Experience (if any) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Any special circumstance or condition which indicates financial need?_________ Junior Achievement involvement (i.e. have attended any classes offered by JA in the past) ________________________________________________________________________ Give a brief description of your high school activities and achievements (Scholastic awards, Clubs, Offices held, Talents, Hobbies, Special Interests, Aptitudes, etc.) GPA (latest available)_________as of what date?__________________ REFERENCE: Give the name and address of a person who will be able to verify the information listed above (other than a relative). Name:________________________Address:______________________________ Phone#_________________ E-mail address:_________________________ Student's signature_______________________ Parent's signature________________________ Date Submitted___________ *Please see next page for essay instructions…… *Please attach a 500 word essay on: Free Enterprise; Yesterday, Today & Me Describe how the free enterprise system has influenced you and/or your family, go back as many generations as possible. What person or event, if any, has most influenced your belief in the free enterprise system? How has the free enterprise system benefited your community? Which teacher, if any, in your school has done the most to increase your appreciation of the value of free enterprise, business, and economic fundamentals? These are only ideas and in no way should limit the scope and/or content of your essay. Note to Students: Please submit your application form and essay to your School Counselor on or before Friday, May 9th, 2014 Note to Counselors: The deadline for mailing Scholarship Applications and Essay is May 16, 2014 Please Mail to: Lucy Pendon JA Scholarship Chair 2210 River Valley Drive West Columbia, Texas 77486 If you have any questions or need additional information: Please call the Junior Achievement Office at (979) 549-0800 or Lucy Pendon at (979) 345-4830 or (979) 864-6610.