MEADVILLE MARTIN LUTHER KING, JR.
CORPORATION SCHOLARSHIP REQUIREMENTS
2012
1.
2.
3.
4.
5.
6.
7.
8.
9.
*Academic excellence measured by a review of grades with at least
an overall cumulative average of 3.0 on a 4.0 scale
*SAT OR ACT Score
*A letter of acceptance from an accredited institute of higher
education
*Attendance record for high school years
*Verification of family income (1040 tax form)
*Three references
Willingness to attend scholarship reception and willingness to make
an acceptance speech
Good character
Write an essay
*Supporting documentation must be attached to this application.
The scholarship committee reserves the right to interview applicants and
to reject any application that is not complete or deemed unfit. All
applications will be held in strict confidence.
MEADVILLE MARTIN LUTHER KING, JR.
CORPORATION SCHOLARSHIP APPLICATION
2012
This application and required documentation must be properly completed.
APPLICATIONS MUST BE SUBMITTED TO THE GUIDANCE COUNSELOR OR TO THE
SCHOLARSHIP COMMITTEE BY THURSDAY, APRIL 13, 2012
Please type or print legibly.
Name: _________________________________________
Home Address: __________________________________
__________________________________
__________________________________
Telephone Number: __________________
Social Security Number: ______________
Parent/Guardian: ____________________________________
Father’s Occupation: ___________ Mother’s Occupation: _____________
Family’s Total Gross Income: $_______. Provide support.
(Family income should be reflective of the person(s) who claim you for federal income tax
purposes.)
Age of Brothers and Sisters: At Home: ________ At College: _______
Date of Anticipated High School Graduation: ______________
Are you presently employed: ____ If so, Where? _____________
Do you plan to work this summer? _____ If so, Where? ______________
MEADVILLE MARTIN LUTHER KING, JR.
CORPORATION SCHOLARSHIP APPLICATION CONTINUED
List your activities at school, church, community, or state. Identify years
involved and any office held:
List any other Honors, Awards or scholarships you have already received:
List three (non-related) references who can attest to your personal
character
NAME
ADDRESS
PHONE
OCCUPATION
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
I attest that all information provided is accurate to the best of our knowledge.
Applicant’s Signature: _____________________________________
Parent/ Guardian Signature: _________________________________
Date of Application: _________________
MEADVILLE MARTIN LUTHER KING, JR.
CORPORATION SCHOLARSHIP APPLICATION CONTINUED
Type an essay where in your words you identify your long-range goals.
Explain how attending and institution of higher education will help you
attain your goals. Use additional pages if needed.