Pam Brough Scholarship Application

Your Name

Social Security Number

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Date of Birth

Phone Number

Email Address

In which College/University or Trade School do you plan to enroll:

In which field do you plan to major?

If undecided, list your present preferences in order:

What are your occupational plans following college/trade school graduation (if decided)?

List all scholastic honors, awards, citations or activities (Use additional sheet of paper if needed).

List all extracurricular activities and offices held in each (Use additional sheet if needed).

Check One:

High School Graduate

Currently Enrolled

Other

If high school graduate, please list the name of the high school

If currently enrolled, please list where you are currently enrolled and the # of hours completed

If other, please explain

Please list all schools attended along with the dates attended

Please list all scholarships / grants awarded:

List of school and community volunteer activities

List Job Experiences including names and addresses of Employers and length of time in job position:

Please write a short narrative describing how you have demonstrated outstanding leadership skills (300 word maximum)

Please describe any extracurricular activities including sports, church and community service.

Please state any additional information you would like for the committee to know in considering your application.

Official Transcript of Your Grades

Please upload two letters of recommendation

Please upload copies of any financial aid forms that have been submitted/received

By checking the box, I verify that I am the sole author of this application and that all statements herein are true and factual to the best of my knowledge. I have read the criteria for the scholarship for which I am applying and believe I am eligible.

Anderson County Chamber of Commerce

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