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CommitteeChairpersonWinifred E. LowerySecretarylTreasurerLouise HoldenFinancial SecretaryMaggie CrenshawMembersIris AtkinsDebra ApplingEveue BradleyCrystal CherryCarolyn CollinsTabitha CookJoseph DuParDiane FordMOllica HoldenLeon JacksonLeon T. LeRoy, Jr.

Senior PastorRev. Dwayne Craig

Past MembersMillicent AikinsMonroe BroadwaterOllice C. HoldenStacey Simmons McCoyRogers J. MitchellMaryetta RummageJames StephenJill Reed WashingtonMinnie Wiley

In MemoriamDelores ApplingGeraldine ChristmasPaul GrishamWilhelmina D. leRoyClara B.MaxeyJuanita Trammel!Johnny D. WellsMevelyn Shannon WilkesPatricia Wilson

Pamela Y. Holden Scholarship Fund

April 26,2015

Dear pplicant:

Please read and follow the information below very carefully.

Please fill the application out in its entirety. All applications must have an essayand th ori inal co of our official school transcri t. Make certain you include inyour e say all of your church, school, and community involvements and activities.Applic tions received without an essay and official school transcript will be consideredincom lete and will be eliminated from the selection process.The a plicant must:

Check off List~ _Be an active member of a church.~ _Present original copy of official school transcript.~ _Have their pastor's recommendation which should include all church

activities.~ _Define time periods for all church, school and community activities

outlined in your essay. Activities should be within a two year periodof the date of the application.

~ _Have letters of confirmation verifying school and communityactivities.

>- _Submit proof of matriculation/acceptance to a four (4) year institution.

lete applications will not be considered for a scholarship award.

he award will be paid in two (2) equal installments. The first installment will bepaid up n your selection as a scholarship award recipient and receipt of proof of yourenroll ent in a four (4) year college. The second installment will be paid the secondsemest ' of the school year upon receipt of your official school transcript (no computergenerat I d transcript) for the first semester, certifying maintenance of an appropriategrade pint average of "C" or better.

f for any reason you fail to attend college during the award academic year orsemest therein, the cash value of this award for that period must be returned to theScholar hip Committee.

pplications must be received on or before the deadline to be considered by theScholar ,hip Committee. You may bring your completed application to the church officeor you I ay mail the completed application to the attention of Mrs. Winifred E. Lowery,c/o Sou hlawn United Methodist Church, 8605 South Cregier Avenue, Chicago, I11inois60617. 0 not fax or e-mail .

Aonlication Deadline: Julv 11. 2015

Southlawn United Methodist Church8605 South Cregier· Chicago, Illinois 60617 • (773) 734-7708

City _-+ State __ Zip Phone _

AMELA Y. HOLDEN SCHOLARSHIP APPLICATIONSOUTHLA WN UNITED METHODIST CHURCH

8605 South Cregier AvenueChicago, illinois 60617

(773) 734-7708

1. Full Naml" . _

2. Address~---------------------------

Cell Phone Email Address . _

Address lhile In School _3.

4. Male Female Age __ Married Children

5. Spouse's ccupation _

6. Parents'

7. Are you a citizen of the USA? __ If not, please explain: _~ _

8. Are you a I ember of a local church? _

9. In what 10 I al church is your membership? _

10. Name and rdress of your pastor:

1l. Name of t e college you plan to attend:

Address: +- _

12. Other insti utions of higher learning you have attended:N E DATE ATTENDED DEGREE(S) EARNED

13.

14.

15.

(2)

AMELA Y. HOLDEN SCHOLARSHIP APPLICATIONSOUTHLA WN UNITED METHODIST CHURCH

Present C assification: Freshman Sophomore Junior _

Senior -1---- If Other __ (Please explain):

What was your grade point average last term? _ Are you on probation? _

If yes, ple se explain: . _

Will you e a full time student? _ For what degree are you studying? __

16. What is y sur intended vocation? _

17. Is this yo r first application for the Pamela Y. Holden Scholarship? _

If not, wh I t year did you apply? _

18. How did ou learn about the scholarship? _

19.I

Write a bnef essay of 200 words or less expressing why you feel you qualify for thisscholarshi award (please attach the essay to this application).

(3)

Pf\MELA Y. HOLDEN SCHOLARSHIP APPLICATIONI. SOUTHLA WN UNITED METHODIST CHURCH

8605 South Cregier Avenue Chicago, IL. 60617 773-734-7708PASTOR'S NOMINATION QUESTIONAIRE

NOMINEE:

PASTOR: ~---------------------------------------------

CHURCH: __ -+ _

A DRESS: _

T LEPHONE: _

Please answer all of the following questions:

1. How long has the applicant been a member of your congregation? _

2. Has this p rson shown potential/commitment for work in the church? _

Please ex lain: _

3_ Is this a st dent you would like to see helped by the scholarship fund? _

4. Are there ny special circumstances of which the committee should be aware of whileconsiderin ~ this application?

On the back of thi sheet, please list the applicant's involvement in the church, school andCommunity, incl?~e in your comments why this person is qualified to receive the PAMELAY. HOLDEN SCttOLARSHIP- ALL questions must be answered to qualify forConsideration £01 the award (attach additional sheets if necessary).

---------

FINANCIAL STATEMENTThis stateme t must be completed and submitted with your application tobe eligible for consideration for the Pamela Y. Holden Scholarship.

Scholarship academic period 20__ to 20__Month

INCOME AV ILABLE to meet expenses

Personal (cash savings, etc.) $ _

Earning while rn school *

Assistantships

Parental suppo t

Spouse's inco e*

Scholarships (itemize)

I

Grants (itemiz )

Loans (itemize

$_----

Other Income ( temize)

Total Income*After all taxes hay been deducted.

MonthEXPENSES FOR SchoolTerm(s)Tuition and Fees $ ---

BooksHousing

Food

Clothing & upkeep

Medical Care

Transportation

Other expenses (itemize)

Total ExpensesPlease note any unusually highExpenses on back of this form.