Scholarship Application
TO PRINT the application, If using a PC (laptop/Desktop) Right click on an empty space and select print
To receive "HELP" in obtaining computer generated copies of this Scholarship Application, please email the webmaster, Kenneth King at: harrisonitesinc@gmail.com. You may also call or contact me at, 870-740-1194, and I will gladly assist you!
(1) RICHARD BERRY HARRISON HIGH SCHOOL SCHOLARSHIP APPLICATION
BLYTHEVILLE, ARKANSAS
On behalf of Harrisonites, Incorporated, Alumni Association, we will award (4) $1000.00 scholarships to high school graduates planning to attend an accredited college or university that meet the required qualifications below. This scholarship is given in honor of our historic, Richard Berry Harrison High School, Blytheville, Arkansas.
There will be (2) local and (2) National Scholarships awarded.
In the case no applications are received both locally and/or nationally, (4) scholarships will be awarded to four applicants regardless of their locale.
Applicants must submit all requested documents per the items below and the attached checklist on page 3.
*Mail to: Harrisonites, Inc. P.O. Box 2093 Blytheville, Arkansas 72316
· Acceptance to a 4-year college/university or 2-year community college
· Minimum 2.50 GPA on a 4.0 grading scale
· 250 word typed personal essay, including your educational/career goals and why you should be selected for this scholarship?
· Current Official High School Transcript
· Minimum 25 hours of community service completed in the last 18 months (official letterhead and ink signature required by a supervisor or counselor)
· One letter of recommendation from a teacher or counselor (official letterhead and ink signature required)
· 4x6 professional photo of yourself
· Descendant/family member name as confirmation of a Richard Berry Harrison High School attendee and the decade they attended
*Please note that all documents must be postmarked and emailed no later than March 31st.
For additional information or questions regarding completion of this application, please email the Scholarship Committee at: harrisonitesinc@gmail.com.
(2) RICHARD BERRY HARRISON HIGH SCHOOL SCHOLARSHIP APPLICATION
BLYTHEVILLE, ARKANSAS
Please TYPE all responses. ALL fields must be completed.
Last name: ___________________First: ________________________Middle: ________
Address: _______________________ City: ___________________ State_____ Zip: _____
Accessible Telephone Number: (________) ____________________________________
Accessible Email Address: _________________________________________________
Date of Birth: Month: __________ Date: _______ Year: _______
Name of High School Attending: __________________________________________
Expected Graduation Date: ______________________ Current GPA: ______________
Address: ___________________________ City: ______________________________
State: _________ Zip: ___________
Name and address of College or University you expect to attend.
Name of School: __________________________ Address: ________________________
City: _________________________________ State: ______ Zip: _______________
College or University Degree/Certificate to be Conferred: _____________________________
College or University Major Course of Study: _________________ Year of Graduation: _____
Applicant Eligibility Criteria: Applicant must provide the name of your descendants family member and the decade they attended Richard Berry Harrison High School in Blytheville, Arkansas.
First Name: _______________________ Maiden: _______________ Last: _________________
Decade attended: __________________
(3) RICHARD BERRY HARRISON HIGH SCHOOL SCHOLARSHIP APPLICATION
BLYTHEVILLE, ARKANSAS
Scholarship Application Checklist
Please use this page only as your checklist to ensure you have all the required documents completed and submitted as listed on page 3 checklist. All documents postmarked and emailed after March 31st. will not be accepted for consideration.
Mail to: Harrisonites, Inc. P. O. Box 2093 Blytheville, Arkansas 72316
1. ____ Completed Richard Berry Harrison High School Scholarship Application
2. ____ Current Official High School Transcript
3. ____ Minimum 2.50 GPA on a 4.0 grading scale
4. ____ 250 word typed personal essay, including your educational/career goals and why you
should be selected for this scholarship?
5. ____ One letter of recommendation from a teacher or school counselor (official letterhead and ink signature required)
6. ____ One letter of recommendation from a community service agency confirming 25 hrs. of community service completed in the past 18 months (official letterhead and ink and signature required by a teacher or counselor)
7. ____ 4x6 professional photo of yourself
8.____ Please be sure to include this signed checklist in the mail packet to be submitted and postmarked no later than March 31st.
Please Print:
I _______________________________, certify that all required documents from the above checklist are true and accurate to the best of my knowledge and are completed and included in this packet. I further understand that if I am selected for this scholarship, I must present proof of enrollment in an accredited college or university to receive disbursement.
Signature: _____________________________________________ Date: ______________