Michael Hare Memorial Scholarship Application Form

Mail to: Sonya Hopkins, PO Box 751, Westminster, SC 29693 by Deadline: May 13, 2016. Email: [email protected] A recent photo and recent report card must be provided along with application. Questions can be addressed to Sonya Hopkins at (864) 710-1942 or Donna Alexander (864) 723-3452. Call Sonya Hopkins on Wednesday May 25, 2016 for Friday afternoon interview schedule time.

Name: ______DOB: ______

Address: ______SS#: ______(will be required if scholarship is awarded)

City: ______State: ______Zip Code: ______

Phone #: ______Years as a Jr. High Division Member: ______

Cell # for contact at State Finals:______

Rodeo Events: ______

______

Activities and awards you have won, memberships, school clubs, and civic activities: ______

______

Career Goal: ______

______

Parent’s names: ______Father Mother

In YOUR HANDWRITING, please give a brief description of why this scholarship would make a difference to you. Use a separate sheet of paper and do this in 100 words. (Attach to application)

Be prepared to do a 10-15 minute interview at State Finals with the Michael Hare Scholarship Committee.

RELEASE: I hereby give my permission to use the information provided on this application for recognition purposes, if I am selected.

Parent Signature: ______Date: ______

Contestant Signature: ______Date: ______