JIM AND SHIRLEY SUTTLE SCHOLARSHIP FUND
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Application Form
First Time Applicants: Please complete all fields below. (Note exemption for students 19 and over.)
Returning Applicants: Please update all fields through “Financial assistance review" and skip to “date”.
All Applicants: Submit two Reference Forms.
*
Indicates required field
Name
*
First
Last
Email
*
Address, City, State, Zip
*
Phone Number
*
U.S. Citizen - Yes/No. If "No" explain
*
School you plan to attend.
*
Current School and Grade Level
*
Gender
*
Date of Birth
*
Student Employed? If so, hours per week
*
Students Objectives
*
Financial Assistance Review: Please list tuition assistance you expect to receive from other
sources including aide or discounts from this school or any other source.
Comment
*
Family information (required for students under 19 years of age
Father/Guardian
Name
*
Address
*
Place of Employment
*
Position
*
Marital Status
*
Email
*
Phone number
*
Discuss your objectives for your student.
*
Mother/Guardian
Name
*
Home Address
*
Place of Employment
*
Position
*
Maritial Status
*
Email
*
Phone Number
*
Discuss your objectives for your student
*
Parents/Guardian
Please discuss your students developmental needs, strenghts, areas .of concern and areas of accomplishment
*
Brothers or sisters residing in the same household, grade level and school attending
*
Date
*
Additional information may be submitted to
[email protected]
The following additional submission may be considered:
Academic Transcripts
Most recent report card
Scores from widely used standardized testing such as the ACT or SAT
Evidence of class ranking
Resume of applicant's activities in school, church, community and employment
ALL APPLICANTS MUST ALSO ENSURE THAT TWO LETTERS OF REFERENCE
ARE SUBMITTED DIRECTLY TO THE FUND BY PERSONS ASSOCIATED WITH THE
APPLICANT. This could include teachers, coaches, counselors, church leaders, etc., or
if appropriated employees of Gracewood or Children's Hope Program.
Submit
Home
Contact
About Us
Purpose
Support
Applications
Instructions
Application Form
Reference Form
Organization Support Statement
Links