ALBEMARLE HIGH SCHOOL ALUMNI ASSOCIATION

                                  SCHOLARSHIP ENTRY

THE AWARD OF THIS SCHOLARSHIP WILL BE BASED ON NEED, MERIT AND DEMONSTRATED CONTRIBUTIONS TO THE ALBEMARLE COMMUNITY.  SCHOLARSHIPS WILL BE AWARDED TO GRADUATING SENIORS.  SCHOLARSHIPS ARE AWARDED IN THE AMOUNT OF $500.00.

NAME:  FIRST___________________MIDDLE_______________LAST_____________________

ADDRESS: _______________________________________________

                    _______________________________________________

PHONE:     (       )________________    EMAIL__________________________________

BRIEFLY EXPLAIN HOW THIS SCHOLARSHIP WILL ASSIST YOU IN FURTHERING YOUR

EDUCATION.

BRIEFLY EXPLAIN WHY YOU BELIEVE YOU DESERVE THIS SCHOLARSHIP.

BRIEFLY EXPLAIN ANY DEMONSTRATED CONTRIBUTIONS THAT YOU HAVE MADE TO THE ALBEMARLE COMMUNITY INCLUDING ALBEMARLE HIGH SCHOOL.

   COLLEGE NAME ____________________________________________________________________

WHAT IS YOUR PLANNED MAJOR IN COLLEGE?_________________________________________

WHAT ARE YOUR GOALS IN YOUR CHOSEN FIELD?______________________________________

PLEASE ATTACH A COPY OF YOUR GRADE SHEETS.

DATE_____________________________  SIGNATURE_______________________________________

ENTRIES ARE TO BE RECEIVED NO LATER THAN ______________

SUBMIT TO:  ALBEMARLE HIGH SCHOOL ALUMNI ASSOCIATION

                         2775 HYDRAULIC ROAD

                         CHARLOTTESVILLE, VA.   22901

OR TURN IN TO THE GUIDANCE DEPARTMENT TO THE ATTENTION OF

ALBEMARLE HIGH SCHOOL ALUMNI ASSOCIATION.