Melton Endowment Fund Scholarship 2024 Step 1 of 3 33% Personal InformationYour Name First Last Your Email Address Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Your PhoneName of father/mother/grandparent employed by SRMHFirst nameLast nameRelationship Add RemoveIf the relative is a grandparent, are you living with them and do they provide support? Yes No How long have they been employed by SRMH?Father's occupation (if applicable)Place of employment and positionMother's occupation (if applicable)Place of employment and positionNumber of children in family and AgesNumber of childrenages EducationCollege, University, Vocation School or other Institution you plan to attendWhat is the anticipated tuition for the school you plan to attend?Date of school term which you will enroll MM slash DD slash YYYY Intended occupation after completion of educationName(s) of school(s) you have attendedPlease list all educational institutions you have attended high school and above.SchoolDatesDate of Graduation (expected date) Add RemoveHave you recieved any tuition assistance/scholarship money from SRMH? Yes No Please describe the type of assistance/scholarship received from SRMHTypeDatesAmount Add RemoveDo you hold any other scholarships? Yes No Please describe the type of assistance/scholarship and amountTypeDatesAmount Add Remove More About YouOffices and positions of leadership held in class and school organizations:Honors and awards received in school:Record of participation in extra-curricular school activities.(State only major activities):Out-of-School activities, offices held, awards, etc.:Civic and Community improvement activities:Positions held in employment, periods of employment, average time each week, earnings, etcMiscellaneous - any additional data to show general worthiness:Please list three references including one teacher if you are currently a student. Please do not list relatives:NameAddressTelephone number Add RemoveUpload your personal letterA personal letter not longer than one 8 1/2 x 11-inch page, typewritten, setting forth reasons for the scholarship request and future plans must accompany the application.Accepted file types: pdf, doc, docx, Max. file size: 25 MB.Terms and Conditions(Required)I hereby authorize a representative from the Melton Scholarship Committee to obtain information pertaining to my academic record and extra-curricular activities from the school(s) listed in this scholarship application and to also check references listed. I agree to the terms and conditions.Type your name below to agree to the terms and conditions then click "Submit application"
