“547” JOHN E. MCGLAMRY MEMORIAL SCHOLARSHIP
2015 APPLICATION
The “547” John E. McGlamry Memorial Scholarship Fund was established at the North Georgia Community Foundation in
2012 to honor the life and career of Georgia State Trooper John E. McGlamry. Trooper McGlamry served the State of
Georgia for 25 years and did so with unwavering principles. As such, he left a lasting impact on the communities he
served, his peers, and his family.
A $1,000 award is available for graduating high school seniors who are the children of active or retired Georgia State
Troopers planning to enroll at an accredited U.S. college or university as a full-time student in fall 2015.
Please fill out the information below completely and print clearly. If space provided in any section is inadequate, you may
continue on additional sheets of paper using the same format. Be sure to include your name, address, and the name of
the scholarship on all attachments.
I.
PERSONAL INFORMATION
Applicant’s Full Name: ______________________________________________________________________________
Mailing Address: ___________________________________________________________________________________
___________________________________________________________________________________
E-mail Address: ___________________________________________________________________________________
Home Phone Number: ________________________________ Cell Phone Number: ____________________________
High School: ______________________________________________________________________________________
Are you the child of an active or retired Georgia State Trooper? __________ yes
__________ no
If no, you are not eligible to apply for this scholarship; if yes, please list your parent’s name, patrol post
and if he/she is an active or retired trooper:
____________________________________________________________________________________
II.
PARENT/GUARDIAN INFORMATION
Parent/Guardian (full name):__________________________________________________________________________
Day Phone: __________________________________ Relationship to Applicant: ______________________________
Parent/Guardian (full name): _________________________________________________________________________
Day Phone: __________________________________ Relationship to Applicant: ______________________________
This application form consists of 3 pages. If you are missing any pages, please go to www.ngcf.org for the complete form.
2
“547” John E. McGlamry Memorial Scholarship 2014-2015 Academic Year
III.
POST SECONDARY SCHOOL DATA
List the colleges or universities to which you have applied and/or to which you have been accepted. List these in order of
your choice.
st
1 Choice: ________________________________________________________________________________________
Accepted?
Yes
No
Pending
nd
2 Choice: _______________________________________________________________________________________
Accepted?
Yes
No
Pending
rd
3 Choice: _______________________________________________________________________________________
Accepted?
Yes
No
Pending
Intended Major: _____________________________________
IV.
ACTIVITIES, AWARDS & HONORS
List all school activities in which you have participated during the past four years. Note all leadership positions held,
special awards and honors.
Activity
V.
Years
Participated
Special Awards, Honors
Offices Held
TRANSCRIPT SUMMARY
Applicant ranks _______________ in a class of _______________
GPA (4.0 Scale): _______________
SAT (list score for 2-part or 3-part test): _______________ out of 1600
ACT: _______________
_______________ out of 2400
This application form consists of 3 pages. If you are missing any pages, please go to www.ngcf.org for the complete form.
3
“547” John E. McGlamry Memorial Scholarship 2014-2015 Academic Year
VI.
ESSAY
“Wisdom, justice and moderation” has been the motto of the Georgia State Patrol since its inception in 1937. In an essay,
no longer than two pages (double spaced), discuss what wisdom, justice and moderation mean to you and either how a
role model of yours displays these principals or how you apply these principles to your own life. Please make sure your
name appears in the upper section of your essay.
To be considered eligible, return the following documents in one packet to the North Georgia Community
Foundation.
a) Completed application
b) Typed essay (no more than two pages) as outlined in Section VI
c) Official transcript of grades through the most recent term
Deadline: Complete application packets must be received by 5 p.m. on March 5, 2015.
Mail or Drop off Application to:
Scholarships Manager
North Georgia Community Foundation
615 F Oak Street, Suite 1300
Gainesville, GA 30501
Questions:
Call (770) 535-7880, ext. 226 or e-mail [email protected]
By signing below, I certify that the information provided is complete and accurate to the best of my knowledge and is my
own work. I understand that falsification of information will result in termination of any scholarship granted. I understand
that late and incomplete applications will be disqualified.
Signature ______________________________________________________
Date ____________________
This application form consists of 3 pages. If you are missing any pages, please go to www.ngcf.org for the complete form.