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Application Review Committee:

The Application Review Committee consists of business leaders and educators from various backgrounds and careers. These individuals have the responsibility to provide the initial review of all received applications and rank them. The review process is done individually. Once all the applications have been reviewed the rankings are forwarded to the Secretary to be consolidated and the top 10% are then reviewed by the board members as a team. The number of scholarships awarded is dependent upon the available funds. Students may apply up until December 31st of their graduation year. For example, if you graduated in May 2014, you can apply up until December 31, 2014.

If applicable, awarded scholarships are renewable. You will be advised as to how upon your acceptance.

  1. Student must be taking 12 credit hours per grading period or enrolled in a full-time program.
  2. Student must maintain passing scores with a minimum of a C grade average or equivalent.
  3. Student must submit a copy of their grade report for each previous grading period.
  4. Student must attend a regionally accredited educational institute.
Click Here To Submit An

NICOLE LYNN STOCKDALE MEMORIAL SCHOLARSHIP APPLICATION


    GENERAL INFORMATION    
             
1. Applicant Information -        
Name*
  Home Phone*
  Cell Phone*
  Fax
             
Address*
  City*
  State*
  Zip*
             
Email Address*
  Date of Birth (M/D/Y - 01/17/1981)
  Birth Place
  Social Security #*
             
2. Residence -        
CURRENT ADDRESS, IF DIFFERENT:            
Address
  City
  State
  Zip
             
OTHER TEMPORARY RESIDENCES:            
Address
  City
  State
  Zip
             
3. Citizenship Status -   U.S.
  Other
   
             
             
    EDUCATIONAL BACKGROUND    
             
4. School(s) Attended -            
High School
  Years Attended
  Graduation Date
             
Address
  City
  State
  Zip
             
5. Extracurricular & Community Activities -        
Organization
  Dates Worked
  Type of Work Experience
  Award Received
             
6. High School Graduation -        
I will be graduating from on .
             
Guidance Counselor Confirmation: Name
             
After high school, I plan to attend located in , to pursue
             
a career in .
             
7. Scholarships -        
Have you received any additional scholarship(s)? .
If yes, please state the name of the scholarship and the scholarship award amount:
             
8. Academic References (Teacher/Counselor/Coach)        
The following persons may be contacted for reference if the committee so desires.
Reference Name
  Title
  Email
  Phone
             
Address
  City
  State
  Zip
             
             
    EMPLOYMENT RECORD    
             
9. Employer Information -        
Employer Name
  Dates Worked
  Nature of Work Performed
  Work Phone
             
Address
  City
  State
  Zip
             
10. Employer References -        
The following persons may be contacted for reference if the committee so desires.
Reference Name
  Title
  Email
  Phone
             
Address
  City
  State
  Zip
             
             
    REQUIRED DOCUMENTS    
             
11. Transcript -        
My high school transcript is attached to this application for review by the committee.
Upload File:
     
12. Essay -        
I've enclosed a hand-written essay (500-word maximum) describing a hardship I have had to overcome for review by the committee.
Upload File:
         
13. Tax Return -        
I have attached a true, signed non-returnable copy of my most recent IRS Form 1040 (if applicable) and my Parents'/guardians' most recent IRS Form 1040 (dependent applicants only).
Upload File:
             
14. Application Deadline -        
Scholarship applications are due by December 31st, or the last preceding business day before the 31st if the 31st is on a holiday, Saturday or Sunday, of the year in which the applicant has graduated from High School.
             
If you have any questions concerning this application, please contact Martin P. Stockdale of The Stockdale Foundation, Inc., at: (954) 579-8957.
             
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