The Texas Society of Mayflower Descendants

TEXAS SOCIETY OF MAYFLOWER DESCENDANTS
2015 SCHOLARSHIP
Purpose:
The Texas Society of Mayflower Descendants (TSOMD) Scholarship has been established to
assist deserving descendants of TSOMD members in acquiring a higher education, with a view
to their becoming better prepared for life and citizenship.
To Whom Given:
1. A Texas graduating high school senior who will be accepted for enrollment in an
accredited institution of higher learning either in Texas or out-or-state (college,
university, community college). The graduate may hold a junior Mayflower
membership number or a parent or grandparent must hold a membership in the
General Society of Mayflower Descendants and/or the Texas Society of Mayflower
Descendants.
2. Amount: A single $3,000 award is 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.
3. If a student selected for the scholarship fails to enter the school of their choice of
higher learning, then he or she shall forfeit the scholarship. The scholarship shall
then be awarded to the runner-up who was chosen by the Texas Mayflower
Scholarship Selection Committee.
Qualifications for Scholarship
An applicant must:
1. Be a U.S. citizen with copy of birth certificate or passport
2. Hold junior membership in the Mayflower Society or have a parent/grandparent
who is a member of the GSOMD or TSOMD and provide name with National and
State Numbers
3. Be in the 75th percentile or higher on SAT or ACT (provide copy of scores).
4. Be a resident of the state of Texas and show proof of residence (examples: (1)
Current U.S. Passport, (2) Texas driver’s license, or (3) High School Student I.D.)
5. A GPA of 3.0 or higher based on a 4 point scale. (copy of original record
transcript showing GPA).
6. Properly complete and submit Application Form (See Attachment # 3)
Applicant Guidelines to Follow: “A Must Do List for Student Applicants.”
1. Submit documentation for information noted on Eligibility criteria: birth
certificates, driver’s license, and GPA/Grades/SAT and or ACT scores.
2. Submit application (Attachment #1) by March 1 of the current year.
3. Distribute recommendation forms to two academic teachers (math, science,
social studies, or English). (See Attachment 2)
4. Distribute the Character Recommendation forms to two people other than
family. (See Attachment 3)
5. Write an essay of 500-600 words entitled (choose one topic only):
-The Hardships Endured in Establishing Plymouth Colony.
-The Significant Influence of the Mayflower Compact on the
American Constitution.
-Religion’s Role in the Separatists’ Migration to the New World.
6. If selected as a finalist, the applicant may be interviewed by the Texas
Mayflower Scholarship Selection Committee via telephone or Skype.
7. The Scholarship recipient and parents will be invited to be guests of the
Texas Society at the annual State Meeting.
8. Submit by March 1, the entire application packet (in one package)
postmarked by deadline date by mail. (Incomplete or late submission will
not be considered)
Send completed packet to:
Mrs. Mary E. Eck, Scholarship Chairman
Texas Society of Mayflower Descendants
13205 George Road
San Antonio, TX 78230-3018
Telephone: 210-492-1322 or E-mail: [email protected]
No copies of photos of applicant are to be sent in packet.
If applicant has any questions, please contact the above listed chairman.
TEXAS SOCIETY OF MAYFLOWER DESCENDANTS
SCHOLARSHIP 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
Telephone:_________________________________________________________________________________
(home and cell)
E-mail: ___________________________________________________________________________________
If you are a Junior Member, please list your Texas Jr. Number: _______________________________________
Name of Parent: ____________________________________________________________________________
Address of Parent:
_________________________________________________________________________________________
City
State
Zip Code
Telehone:_________________________________________EMail:____________________________________
Parent: List General Society of Mayflower Descendants number:______________________________________
Parent: List Texas Society of Mayflower Descendants 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 or a member of the Texas Society of Mayflower Descendants.)
Application-TSOMD
Attachment 1.
Page 2.
(Please print using black ink)
Name:____________________________________________________________________________________
(P.O. Box or House Number and Street)
__________________________________________________________________________________________
City
State
Zip Code
Telephone:
__________________________________________________________________________________________
( home and cell)
Grandparent: List GSOMD number: ____________________________________________________________
Grandparent: List TSOMD number: _____________________________________________________________
Name of Student’s High School: _______________________________________________________________
__________________________________________________________________________________________
High School E-mail address: __________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Names of teachers (math, science, social studies, and English): Please include their mailing address,
telephone, and e-mail where they can be reached.
1.________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2.________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Expected date of graduation: _________________________________________________________________
MM/DD/YYYY
Current rank in class is ________________; total number of class members is_________________________.
High school awards and honors:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Briefly describe your academic plans.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Application-TSOMD
Attachment 1.
Page 4
(Please print using black ink)
Application for Scholarship:
On a separate sheet attached to this page briefly describe your reasons for applying for this
scholarship. (150 words or less)
Do we have your permission to advertise your award? Yes or no
MAYFLOWER SCHOLARSHIP
SPONSORED BY
THE TEXAS SOCIETY OF MAYFLOWER DESCENDANTS
TSOMD
ADADEMIC RECOMMENDATION FORM
Academic teacher to fill out—return to student
APPLICANT INSTRUCTIONS: complete the upper portion (name and date) of this form; then give the form to
an academic teacher, (math, science, social studies, or English) familiar with his or her high school work.
The selected academic teacher recommending you will return the form to you in a sealed/taped envelope
with his or her signature written across the seal. Student, D0 NOT OPEN.
Submit the sealed envelopes as part of your application packet.
Applicant’s Name:_________________________________________________Date:______________________
Teacher’s Instructions: The person named above is applying for a Texas Society of Mayflower Descendants
Scholarship for the upcoming university/college academic years. Please complete the form below. 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 these areas listed below. If you have no basis for ranking in a particular category,
then check unknown,
Unknown
Poor
Fair
Good
Excellent
Exceptional
Academic Ability ___________________________________________________________________________
Intellectual Curiosity _________________________________________________________________________
Writing Skills _______________________________________________________________________________
Leadership Skills ____________________________________________________________________________
Verbal Communication _______________________________________________________________________
Research Skills ______________________________________________________________________________
Study Skills ________________________________________________________________________________
Ability to Work Collabororatively_______________________________________________________________
Honesty ___________________________________________________________________________________
Dependability ______________________________________________________________________________
Adaptability ________________________________________________________________________________
Imagination________________________________________________________________________________
Insight ____________________________________________________________________________________
Respect for Others __________________________________________________________________________
Other outstanding characteristics:______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
MAYFLOWER SCHOLARSHIP
SPONSORED BY
TEXAS SOCIETY OF MAYFLOWER DESCENDANTS
TSOMD
Attachment 2
Page 2
ACADEMIC RECOMMENDATION FORM
Academic Teacher to Complete and Return to Student
I would rank this student in the (top 50%) ( top 25 %) (top 10%) of students I have ever taught. Please circle
one.
Teacher: Sign across the seal and return envelope to the applicant. Student: DO NOT OPEN. Submit the
sealed envelope as part of your application packet.
Thank you for helping us to select the recipient of the Texas Society of Mayflower Descendants Scholarship.
As application packets must be postmarked by March 1 (current year), please make certain that the applicant
receives your material in ample time to meet the deadline.
Remember, please place your comments and recommendations in an envelope, seal/tape it, sign across the
seal before delivering it to the student.
Name of Academic Teacher:
__________________________________________________________________________________________
Position and title: ___________________________________________________________________________
Name of School:____________________________________________________________________________
Address: __________________________________________________________________________________
Date: _____________________________________________________________________________________
Contact: telephone and e-mail:
__________________________________________________________________________________________
__________________________________________________________________________________________
MAYFLOWER SCHOLARSHIP
Attachment 3.
Page 1.
SPONSORED BY
TEXAS SOCIETY OF MAYFLOWER DESCENDANTS
CHARACTER REFERENCE FORM
APPLICANT INSTRUCTIONS: Complete the upper portion of this form (name and date). Then give the form to
a person, other than a family member, who knows you well. The person recommending you will return the
form to you in a sealed/taped envelope with his or her signature written across the seal. DO NOT OPEN THE
SEALED ENVELOPE, but include it as part of your Application Packet.
Name of Applicant: _________________________________________________Date: _________________
Character Reference Instructions: The person named above is applying for a Texas Society Mayflower
Scholarship 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 not basis for ranking in a particular category,
then check unknown.
Unknown
Rarely
Sometimes
Frequently
Usually
Always
Dependable _______________________________________________________________________________
Courageous ________________________________________________________________________________
Introspective _______________________________________________________________________________
Hardworking _______________________________________________________________________________
Perseverant ________________________________________________________________________________
Cooperative _______________________________________________________________________________
Open Minded ______________________________________________________________________________
Curious ___________________________________________________________________________________
Adaptable _________________________________________________________________________________
Truthful ___________________________________________________________________________________
Helpful ____________________________________________________________________________________
Caring ____________________________________________________________________________________
MAYFLOWER SCHOLARSHIP
Attachment 3
Page 2
SPONSORED BY
TEXAS SOCIETY OF MAYFLOWER DESCENDANTS
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.
Please make certain that the applicant receives your recommendation in time to meet the deadline.
STUDENT: DO NOT OPEN
Applicant Packets must be postmarked by March 1, (current year)
Name:__________________________________________________________Title:______________________
Date:_____________________________________________________________________________________
Provide address, telephone, and e-mail where you can be reached.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Thank you for helping us to select the recipient of the Mayflower Scholarship.