CARTER COUNTY CHAMBER OF COMMERCE SCHOLARSHIP

STUDENT APPLICATION FORM

For Graduating Seniors or Students Continuing Their Education

All items must be completed.  Please type your responses.  Feel free to attach additional sheets if your responses do not fit in the space provided.

1. NAME

2. ADDRESS

3. GRADE POINT AVERAGE

4.  PLEASE DESCRIBE YOUR WORK/JOB EXPERIENCE DURING THE LAST     

     FOUR YEARS.

5.  PLEASE LIST ANY SPECIAL HONORS OR AWARDS YOU HAVE RECEIVED.

6.  WHAT ARE YOUR AREAS OF SPECIAL INTEREST OR TALENTS?

7.  WHAT INSTITUTION OF HIGHER LEARNING ARE YOU ATTENDING OR  

     PLAN TO ATTEND; WHAT COURSE OF STUDY ARE YOU PURSUING OR 

     PLAN TO PURSUE; WHAT DEGREE DO YOU EXPECT TO EARN; WHAT ARE

    YOUR CAREER PLANS AFTER GRADUATING?

8.  PLEASE LIST AN APPROXIMATE AMOUNT REQUIRED TO THE

     FOLLOWING FOR THE NEXT YEAR:

            TUITION AND FEES _________   

            ROOM AND BOARD _________

            BOOKS ____________________

9.  WHAT TYPE OF COMMUNITY SERVICE WORK HAVE YOU DONE?

10.  PLEASE ATTACH AN ESSAY ADDRESSING THE FOLLOWING TOPIC: 

      DESCRIBE HOW YOUR INVOLVEMENT IN COMMUNITY SERVICE HAS  

      IMPACTED THE COMMUNITY AND HOW YOU HAVE GROWN FROM THE

      EXPERIENCE.

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SIGNATURE OF APPLICANT                                                                 DATE