Houston Society of Mayflower Descendants Scholarship - 2016
Purpose:
The Houston Society of Mayflower Descendants (HSOMD) Scholarship has been established to
assist deserving descendants of SOMD members in acquiring a higher education, with a view to
their becoming better prepared for life and citizenship.
In the spirit of the Mayflower settlers seeking to better themselves by moving to a new and
uncharted world, special consideration will be given to applicants who have demonstrated
commitment to bettering themselves and who will likely benefit from a scholarship.
To Whom Given:
1.
A Graduating High School Senior who will be accepted for enrollment in an accredited
institution of higher learning either in Texas or out-of-state (college, university, community
college). [The graduate may hold a Junior Mayflower membership number or a parent,
grandparent or a family member in the direct Mayflower line with appropriate proof of the
relationship, must hold a member in the General Society of Mayflower Descendants
(GSOMD) and/or the Texas Society of Mayflower Descendants (TSOMD)].
2.
Amount: A $1,620 award to be paid directly to the college, university, or community
college in which the graduating senior student has been accepted for enrollment. The
award will go to assist the student’s payment for tuition and books only.
3.
If a student selected for the scholarship fails to enter a school of higher learning; then (he
or she) will forfeit the scholarship. Then the scholarship would be awarded to the runner
up who was chosen by the Houston Mayflower Scholarship Selection Committee.
Eligibility For Scholarship Criteria: What a student needs to do to qualify.
1.
Be a U.S. Citizen with copy of: Birth Certificate or Passport.
2.
You or parent/grandparent who is a member of the General Society of Mayflower
Descendants (GSOMD) and/or the Texas Society of Mayflower Descendants (TSOMD).
Name and Number of GSOMD and/or TSOMD must be provided.
3.
Be a resident of the State of Texas and show proof of residence.
4.
Provide a copy of SAT or ACT scores. No minimum is required.
5.
Provide a copy of original GPA Record/Transcript). No minimum is required.
6.
Properly complete and submit Application Form. (See Attachment #1).
Applicant Guidelines to Follow: “A Must Do List for Student Applicants”
What each Applicant Must Follow in Completing Application Forms:
1.
Submit documentation for information noted on eligibility criteria-birth certificate and
GPA/Grades/SAT/ACT scores. If home schooled, submit copies of achievement scores.
2.
Submit application (Attachment #1) by December 31, (of the current year). If there are
delays in waiting for SAT/ACT scores, submit once they are received.
3.
Distribute recommendation forms to any CORE teachers (Math, Science, Social Studies or
English). (See Attachment 2)
4.
Request any CORE Teachers (Math, Science, Social Studies or English) to give you a
sample of your graded homework, project or writing assignment.
5.
Submit two completed Character Recommendation forms completed by non-family
members. (See Attachment 3).
6.
Write an essay of 300-600 words entitled: (Choose One Topic Only)




“What Does My Mayflower Ancestry Mean to Me?”
“How Does the Signed Document ‘Mayflower Compact’ Impact my Life
Today?”
“How Did the Role of Religion Work for the Mayflower Colony?”
“What Mayflower Pilgrim Do You Best Identify With and Why?”
7.
If selected as a finalist, the applicant may be interviewed by the Houston Mayflower
Scholarship Selection Committee in person or by phone or skype.
8.
Submit by December 31 the entire application packet (in one package) postmarked
by deadline date by mail. ACT/SAT scores will be accepted after this date. All items
requested should be sent to the following Houston Society of Mayflower Descendants
Scholarship Chairman:
Charles Prince, Chairman
Houston Society of Mayflower Descendants
14815 Mesa Vista Dr.
Houston, TX 77083-1434
9.
No copies of photos of applicant are to be sent in packet.
If Applicant has any questions, please feel free to contact the Chairman: Charles Prince by phone
at: (713) 295-5426 or email: [email protected].
Selection Process
Properly completed forms from all applicants will be evaluated by the Selection Committee. The
Selection Committee will select the year’s winner by March 1.
Only applications completed correctly and submitted in one package by December 31 deadline
will be considered. Incorrect applications are discarded and no records are returned. Scholarships
are awarded regardless of race, religion, sex, or national origin. Personal photographs must not be
submitted. The Selection Committee will notify the Scholarship Chairman of the winner. The
winner of the scholarship will be notified no later than March 10th by the Houston Society of
Mayflower Descendants (HSOMD) Scholarship Chairman.
Evaluation Criteria: (Based on 100 point as shown below)
5 Points-Properly Completed Application
10 Points-Academic Recommendation from a CORE Teacher (Math, Science, Social Studies or
English)
10 Points-Character Reference from non-family members
Up to 15 Points-based on SAT or ACT
Up to 10 Points-GPA – based on 4 point scale
10 Points-Awards/Honors/Good Citizenship Awards
10 Points-Community Service (Example, Church, Volunteer Work, Scouting, 4-H, Etc.)
30 Points-Essay: The Essay must be TYPED, double spaced, using 12 point type.
Total: 100 Points
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
APPLICATION
Attachment 1.
Page 1.
(Please Print using Black Ink)
Fill in the blanks for the information requested below.
Applicant Name:
First
Middle
Last
Address:
(P.O. Box or House Number and Street)
City
State
Zip Code
Phone:
(Best Number to be Reached)
E-mail:
If you are a Junior Member, please list your Texas Jr. Number:
Name of Parent:
Address of Parent:
(P.O. Box or House Number and Street)
City
Phone:
State
e-mail:
Zip Code
(Best Number to be Reached)
List relatives’ General Society of Mayflower Descendants GSOMD number:
List relatives’ Texas Society of Mayflower Descendants TSOMD number:
If a parent is not a member of the society, please list Grandparent who is a member of the
General Society of Mayflower Descendants GSOMD or a member of the Texas Society of
Mayflower Descendants TSOMD.
Application-TSOMD
Attachment 1.
Page 2.
(Please Print Using Black Ink)
Name of Student’s High School:
Full mailing address of High School:
High School e-mail address:
Name and full mailing address of High School Principal:
Names of the CORE Teachers (Math, Science, Social Studies, and English): Please include their
address/phone/e-mail where they can be reached.
Expected date of graduation:
Current rank in class:
MM/DD/YYYY
of total in class
High School Awards and Honors:
Please list each on a separate line.
Current GPA:
(if available)
Application-TSOMD
Attachment 1.
Page 3.
(Please Print Using Black Ink)
High School Activities, exclusive of Community Service:
Please list each on a separate line.
Community Service and/or Church Activities, exclusive of High School Activities:
Please list each on a separate line:
Employment History, if any.
Course of Study:
Briefly describe your academic plans for the immediate future.
Application-TSOMD
Attachment 1.
Page 4.
(Please Print Using Black Ink)
Application for Scholarship:
Briefly describe, “Why you are applying for this Scholarship?” (150 words or less)
Do we have your permission to advertise your award? Yes
Note to Applicant: please attach your essay to this application.
No
MAYFLOWER SCHOLARSHIP
CORE Teacher to Fill out-Return to Student
Attachment 2.
Page 1
SPONSORED BY
THE HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
HSOMD
ACADEMIC RECOMMENDATION FORM
APPLICANT INSTRUCTIONS: The student is to fill out the upper portion (name and date) of
this form; then give the form to a CORE Teacher, (Math, Science, Social Studies, or English)
familiar with your high school work. The selected CORE Teacher recommending you will return
the form to you in a seal/taped envelope with his/her signature written across the seal. Student:
(Do Not Open) Submit the sealed envelopes as part of your Application Packet.
Applicant's Name:
Date:___
_________________
CORE Teacher's Instructions: The person named above is applying for a Houston Society of
Mayflower Descendants Scholarship for the upcoming University/College academic year. Please
complete the form below. You may also submit a separate typed letter of recommendation and
attach it to this form. Further please submit a sample of the student's work.
How long have you known the Applicant?
In what capacity?
Please rank the applicant in these areas listed below. If you have no basis for ranking in a
particular category, then check: No Opportunity to observe (Not Obs.).
(Not. Obs.)
1. Academic Ability
2. Intellectual Curiosity
3. Writing Skills
4. Leadership Skills
5. Verbal Communication
6. Research Skills
7. Study Skills
8. Working Collaboratively
9. Honesty
10. Dependability
11. Adaptability
12. Imaginative
13. Insightful
14. Respectful of Others
Other outstanding academic characteristics:
Poor Fair
Good Excellent Exceptional
MAYFLOWER SCHOLARSHIP
CORE Teacher to Fill out-Return to Student
Attachment 2.
Page 2
SPONSORED BY
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
(HSOMD)
ACADEMIC RECOMMENDATION FORM
1 would rank this student in the (top 50%) (top 25%) (top 10%) (top 2%) of students I have ever
taught. Please Circle one.
Please place your comments, recommendations, and sample work in an envelope, seal/tape it, sign
across the seal and return it to the applicant. Student: Do Not Open) Submit the sealed
envelopes as part of your application packet.
Thank you for helping us to select a recipient of the Houston Society of Mayflower Descendants
Scholarship (HSOMD) for this year. Application packets must be postmarked by December
31, (current year). Please make certain that the applicant receives your Academic
Recommendation in time to meet this deadline.
Name of CORE Teacher:
Name of School:
Address:
Date:
Contact: Phone and e-mail:
Title:
MAYFLOWER SCHOLARSHIP
CORE Teacher to Fill out-Return to Student
Attachment 2.
Page 1
SPONSORED BY
THE HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
HSOMD
ACADEMIC RECOMMENDATION FORM
APPLICANT INSTRUCTIONS: The student is to fill out the upper portion (name and date) of
this form; then give the form to a CORE Teacher, (Math, Science, Social Studies, or English)
familiar with your high school work. The selected CORE Teacher recommending you will return
the form to you in a seal/taped envelope with his/her signature written across the seal. Student:
(Do Not Open) Submit the sealed envelopes as part of your Application Packet.
Applicant's Name:
Date: _______________________
CORE Teacher's Instructions: The person named above is applying for a Houston Society of
Mayflower Descendants Scholarship for the upcoming University/College academic year. Please
complete the form below. You may also submit a separate typed letter of recommendation and
attach it to this form. Further please submit a sample of the student's work.
How long have you known the Applicant?
In what capacity?
Please rank the applicant in these areas listed below. If you have no basis for ranking in a
particular category, then check: No Opportunity to observe (Not Obs .).
(Not. Obs.)
1. Academic Ability
2. Intellectual Curiosity
3. Writing Skills
4. Leadership Skills
5. Verbal Communication
6. Research Skills
7. Study Skills
8. Working Collaboratively
9. Honesty
10. Dependability
11. Adaptability
12. Imaginative
13. Insightful
14. Respectful of Others
Other outstanding academic characteristics:
Poor Fair
Good Excellent Exceptional
MAYFLOWER SCHOLARSHIP
CORE Teacher to Fill out-Return to Student
Attachment 2.
Page 2
SPONSORED BY
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
(HSOMD)
ACADEMIC RECOMMENDATION FORM
I would rank this student in the (top 50%) (top 25%) (top 10%) (top 2%) of students I have ever
taught. Please Circle one.
Please place your comments, recommendations, and sample work in an envelope, seal/tape it, sign
across the seal and return it to the applicant. Student: (Do Not Open) Submit the sealed
envelopes as part of your application packet.
Thank you for helping us to select a recipient of the Houston Society of Mayflower Descendants
Scholarship (HSOMD) for this year. Application packets must be postmarked by December
31, (current year). Please make certain that the applicant receives your Academic
Recommendation in time to meet this deadline.
Name of CORE Teacher:
Name of School:
Address:
Date:
Contact: Phone and e-mail:
Title:
MAYFLOWER SCHOLARSHIP
Attachment 3.
Page 1
SPONSORED BY
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
(HSOMD)
CHARACTER REFERENCE FORM
APPLICANT INSTRUCTIONS: The student is to fill out the upper portion of this form (name
and date). Then give the form to a person not a member of your family; but who knows you well.
The person recommending you will return the form to you in a seal/taped envelope with their
signature written across the seal. Student: (Do Not Open) Submit the sealed envelope as part of
your Application Packet.
Name of Applicant
Date:
Character Reference Instructions: The person named above is applying for a Houston
Society Mayflower Scholarship (HSOMD) for the upcoming university/college academic year.
Please complete the form below in a timely manner. You may also submit a separate typed
letter of recommendation and attach it to this form.
How long have you known the Applicant?
In what capacity?
Please rank the applicant in the areas listed below. If you have no basis for ranking in a
particular category, then check. No Opportunity to observe in this area. (Not Obs.).
(Not Obs.) Rarely
1. Dependable
2. Courageous
3. Introspective
4. Hardworking
5. Perseverant
6. Cooperative
7. Open Minded
8. Curious
9. Adaptable
10. Truthful
11. Helpful
12. Caring
Sometimes
Frequently
Usually
Always
MAYFLOWER SCHOLARSHIP
Attachment 3
Page 2.
SPONSORED BY
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
(HSOMD)
CHARACTER REFERENCE FORM
List any other admirable personal qualities that are especially characteristic of the applicant.
Put your recommendation in an envelope, seal/tape it, sign across the seal and return it to the
applicant. Student: (Do Not Open) Application Packets must be postmarked by December
31, (current year). Please make certain that the applicant receives your recommendation
in time to meet the deadline.
Thank you for helping us to select the recipients of the Mayflower Scholarship.
Name:
Title:
Date:
Complete address/phone, e-mail where you can be reached.
MAYFLOWER SCHOLARSHIP
Attachment 3.
Page 1.
SPONSORED BY
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
(HSOMD)
CHARACTER REFERENCE FORM
APPLICANT INSTRUCTIONS: The student is to fill out the upper portion of this form (name
and date). Then give the form to a person not a member of your family; but who knows you well.
The person recommending you will return the form to you in a seal/taped envelope with their
signature written across the seal. Student: (Do Not Open) Submit the scaled envelope as part of
your Application Packet.
Name of Applicant
Date:
Character Reference Instructions: The person named above is applying for a Houston
Society Mayflower Scholarship (HSOMD) for the upcoming university/college academic year.
Please complete the form below in a timely manner. You may also submit a separate typed
letter of recommendation and attach it to this form,
How long have you known the Applicant?
In what capacity?
Please rank the applicant in the areas listed below. If you have no basis for ranking in a
particular category then check. No Opportunity to observe in this area. (Not Obs.)._
(Not Obs.) Rarely Sometimes Frequently Usually Always
1. Dependable
2. Courageous
3. Introspective
4. Hardworking
5. Perseverant
6. Cooperative
7. Open Minded
8. Curious
9. Adaptable
10. Truthful
11. Helpful
12. Caring
MAYFLOWER SCHOLARSHIP
Attachment 3
Page 2.
SPONSORED BY
HOUSTON SOCIETY OF MAYFLOWER DESCENDANTS
(HSOMD)
CHARACTER REFERENCE FORM
List any other admirable personal qualities that are especially characteristic of the applicant.
Put your recommendation in an envelope, seal/tape it, sign across the seal and return it to the
applicant. Student: (Do Not Open) Application Packets must be postmarked by December
31, (current year). Please make certain that the applicant receives your recommendation
in time to meet the deadline.
Thank you for helping us to select the recipients of the Mayflower Scholarship.
Name:
Date:
Complete address/phone e-mail where you can be reached.
Title:
(Announcement in Houston & State Newsletter)
SCHOLARSHIP ANNOUNCEMENT
In April 2015, the Houston Society of Mayflower Descendants will award a $1,620 scholarship to a
qualified high school senior accepted at an accredited school of higher learning (college,
university, or community college). The funds will be sent to the school in which the student will
enroll to be used for tuition and books only.
For students applying for the scholarship, the following criteria will be as follows:
Be a US Citizen
Himself/herself/parent/grandparent be a member of the GSOMD and/or TSOMD
Consideration of scores on the SAT or ACT
Be a resident of the state of Texas
Consideration on GPA (based on a 4.0 scale)
Properly complete and submit the application form
Further, all members are encouraged to give names of students, who are known, to the colony governor
so that those students will have an opportunity to apply.
Finally, for additional information, please feel free to contact Charles Prince, Chairman,
[email protected].
602581784