The Everett Fairchild Scholarship

The Everett Fairchild Scholarship Application Due Date: Friday, Feb. 8th, by 3:00PM

Purpose: In honor of Mr. Everett Fairchild’s years of service and leadership to our schools and the Hixson community, this scholarship shall provide financial assistance [for college] to a student with an interest in pursuing continuing education in any field.

Qualifications: Applicants must have leadership qualities and have demonstrated leadership within the school, the community, their church and/or service groups (i.e. Scouts, charitable organizations, clubs, etc.)

Eligibility: Applicants must be a graduating Senior of Hixson High School that has plans to attend an accredited community or 4-year college immediately (summer or fall) following graduation.

Application Process:  Submit the attached application by the deadline indicated above.  Please provide TWO (2) references (excluding immediate family) along with your application; include names, addresses, telephone numbers, emails and their relationship to you. Be sure that the references you include are familiar with your leadership qualifications.  Complete an extracurricular resume’ listing all sports, clubs, volunteer efforts and awards received as well as any other extracurricular activity you feel pertinent; a questionnaire is included with the application (page 3,4 & 5) and may be used as a template for resume’.  All documents (Application, letters of recommendation and cover letter) are to be submitted to the Guidance Office at Hixson High School in a folder to be submitted to the committee for review.

Selection Process: Recipient(s) will be selected anonymously by an impartial committee and will be based on materials provided by applicant(s). All scholarship applicants will be notified of the committee’s decision prior to graduation on May 11, 2013 .

Award(s): Award amounts and number of recipients shall be based on the amount of donations received by the award date as well as the final number of applicants.

1 The Everett Fairchild Scholarship Application Form

Please clearly print or type your answers. If application is illegible, it will be returned to you.

Last Name: First Name: MI:

Mailing Address: Street City State Zip

Home Phone#: Cell Phone#:

Email Address: Date of Birth:

I will be attending the following school in the of 20___: (Summer/Fall) *Proof of acceptance is required prior to disbursement of any funds; funds will be disbursed directly into your college/school account.

Grade Point Average (GPA): Please attach proof of GPA from Guidance Office.

Name and address of parent(s) or legal guardian(s). Reverse side may be used if more space is needed.

Name(s):

Mailing Address: Street City State Zip

Home Phone#: Email:

Have you attended Hixson High School all four years? YES NO

If not, what other high schools did you attend? (list all and the dates attended):

Please list any other family members that have attended (or are/will be attending) Hixson High School, the year(s) they graduated and their relationship to you:

Name Graduation Year Relationship to Applicant

2 The Everett Fairchild Scholarship Leadership Qualifications Questionnaire (Please DO NOT put your name on this page to ensure the selection process remains impartial)

GPA: ACT Score: Section I: Your Role In Society Below, please list each organization of which you were an active participant. Please also list the dates of participation, your role or position within the organization and any additional information or projects associated with each organization that you feel may be pertinent. You may use the template below or type your own resume’ on a separate sheet.

1) Organization Name:

Participation Dates: Position Held:

Information/Projects:

3 Section II: Awards

Below, please list any awards you have received along with a description of the award and the year it was received. Please use the reverse side of this page or attach additional sheet(s) if more space is needed.

1. Award: Date:

Description:

2. Award: Date:

Description:

3. Award: Date:

Description:

Section III: Volunteerism

Below, please list your volunteer efforts along with approximate number of hours and the name of the organization. Please use the reverse side of this page or attach additional sheet(s) if more space is needed.

1. Organization: Role/Job:

Hours/Dates: Other Info:

2. Organization: Role/Job:

4 Hours/Dates: Other Info:

3. Organization: Role/Job: Hours/Dates: Other Info:

4. Organization: Role/Job: Hours/Dates: Other Info:

Section IV: A True Leader – Getting Personal (You may use the space below to answer the questions or you may submit your answers on an attached page in paragraph form.)

1. What qualities and/or traits do you think a true LEADER must possess? Please explain

ways in which you present these qualities and/or traits:

2. List a way that you can see yourself being a leader in college:

3. List a way you can see yourself being a leader in your community as a college graduate:

4. Name someone that has been an inspiration to you and/or encouraged you to be a leader and how (can be family, teacher, someone famous, historical figure, etc. please do not list any identifying last names):

5. Please describe in one sentence what you would say to an underclassman at your high school that might motivate he/she to be a leader:

6. What is the greatest advantage in having leadership as a quality?

What is the greatest disadvantage?

7. Why do you think this scholarship should be awarded to you?