Jack Brumley Scholarship

Application

Applicant

Name:_______________________________________________________

Address:_____________________________________________________

City/State:_________________________________ Zip Code: _________

Telephone:_______________________________________(Home or Cell)

Email Address:________________________________________________

College/University Attending:____________________________________

Major:_________________________________ Hours Completed:______

Advisor:__________________________________________ GPA_______

Parent(Guardian)

Name:________________________________________________________

Address:______________________________________________________

City/State:________________________________ Zip Code:___________

How is your education being funded?_____________________________

_______________________________________________________________________________________________________________________________________________________________________________________

Do you have other scholarships? ______ If yes, state the name, amount and duration of each scholarship. ________________________________

__________________________________________________________________________________________________________________________

What other extracurricular activities do you participate in? (Clubs, sports, student government, etc) _________________________________

__________________________________________________________________________________________________________________________

PLEASE INCLUDE THE FOLLOWING WITH YOUR APPLICATION:

A brief essay discussing why you chose to pursue an education degree.

Current college transcript.

High school transcript.

Personal recommendation from one of the following that would include comments on achievements, dependability, leadership strengths, ability to relate with other students/faculty and potential for success as a teacher:

High school teacher or administrator of the school graduated from.

College/University education professor from where the applicant is attending.

Jack Brumley Scholarship Guidelines

One $500 scholarship will be awarded annually to a current college student (sophomore, junior or senior) that graduated high school from Tuscumbia, Russellville or Eugene.

The applicant must be pursuing a degree in the field of education and must have been accepted into an Education program.

The applicant must complete the attached application and provide the requested documents. A scholarship recipient may reapply in subsequent years for additional scholarship funds.

Applicants must have a current GPA of at least 2.5 on a 4.0 scale.

Applications and requested documents must be submitted to the current counselor of the high school attended no later than April 7th. Representatives from each of the schools listed above will be responsible for naming the scholarship recipient.