R.A .C. Scholarship App.

                                                                                             ATTACH A SMALL PHOTO  

Due April 1

                                                   Scholarship Application

                                                   R. A. Clement Association 

                                                                  P. O. Box 70
                                                           Cleveland, N. C.   27013

Instructions:  Please complete this application and attach a copy of your high school transcript and a small picture of yourself. Email all application information to catreliavshunter@outlook.com  Your application will be reviewed by the Scholarship Committee of the R. A. Clement Association.  Awards will be given on the basis of need, academic achievement and level of school and community involvement. For questions: see raclementschool.com  website or contact:carolynsnipeschurchlady@yahoo.com or catreliavshunter@outlook.com or call 704.278.9149

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NAME _______________________________________________________________________________

 

ADDRESS ____________________________________________________________________________

 

CITY _________________________________STATE______ZIP______PHONE____________________

 

EMAIL _______________________________________________________________________________

 

High School _________________________Location___________________Graduation date___________

 

Extra Curricular Activities (School and Community)

 

Organization                                                                                         Offices held/honors
 

____________________________________________________________________________________

 

____________________________________________________________________________________

 

Name of Parents or Guardians _____________________________________________________________

Occupation ______________________________No. of sisters and brothers __________________________

Number currently attending College in 2018-2019_________

College(s)  you  have applied to                                                                                       Accepted,check here

______________________________________________________________________________________

 

______________________________________________________________________________________

 

 

Signature _________________________________________________Date_________________________

 

*****Please use a separate sheet to explain your career goals and how you will pay for college.

 

Which Scholarship are you applying for?

[   ].  R.A. Clement   ( This scholarship is only for student who are descendants  of former R.A. Clement students.)

 [.  ].  George C. Knox ( This scholarship is open to all students.)

[     ] William Hall Educational Scholarship ( Priority is given to students from Anson County who are pursuing an Education Degree)