8/20/2019 Sassy Senior and Steppers Scholarship C - 2016
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Florida Chapter P.O. Box 440322Jacksonville, FL 32222Phone: 04!"""!#43$!%ail: %s.lad&'#0(&ahoo.co%
Ohio Chapter #)400 *iles +oad -ite #04Cleveland, Ohio 44#2Phone: 2#)!/2)!04/#
The Sassy Seniors & Steppers
TO: PASTORS and SENIOR GUIDANCE COUNSELORS DATE: January 20, 2016
SUBJECT: $500.00 SCHOLARSHIPS
OP$1: pplication! Jan-ar& 20, 20#) ! $L1$ pril 2, 20#)
PLEASE POST FOR ALL “2016 GRADUATING SENIORSPLANNING TO ATTEND A T!O "EAR COLLEGE OR A FOUR
"EAR UNI#ERSIT"$
T%& '(%)*ar'%+ +' -)r .%& '.ud&n. .) /&+n .%& 'u&r )r -a** .&r )-2016, a** r&u+r&d +n-)ra.+)n %a' .) /& +n(*ud&d )r .%& a*+(a.+)n 3+**
/& d+'ua*+-+&d$ T%& a*+(a.+)n %a' .) /& .y&d, ()*&.&d )n .%&()u.&r, )r d)n& n&a.*y +n +n45 a &n(+* a*+(a.+)n 3+** /&d+'ua*+-+&d$ T%& a*+(a.+)n u'. /& '&n. +n /y 2 April 2016, )r +. 3+**
/& d+'ua*+-+&d$
SCOLARSIP !INNER OR REPRESENTATI#E !ILL BE RE7UIRED TO ATTENDTE 6T ANNI#ERSAR" BAN7UET CELEBRATION ELD IN NO#E8BER$9R&(++&n.: 3+** r&(&+& 2 ()*+&n.ary .+(4&.', r&(++&n. and u&'.;
The scholarship recipient ill recei!e their "onetar# aar at the % th Anni!ersar#
&an'(et Cele)ration, in *o!e")er.
FURTER INFOR8ATION REGARDING TE BAN7UET !ILL BE GI#EN TO TE!INNERS$ FA8IL" 8E8BERS ARE ENCOURAGED TO ATTEND$
FOR ADDITIONAL INFOR8ATION REGARDING TE SCOLARSIP:
CONTACT: ERLENA !ASINGTON, C%a+r <=0>?6=6?@@6@ % )r =0>?2?@62 (JACIE BARTLETTO, C)?C%a+r ? =0>??1>@= %
.
S+n(&r&*y,
Ann+& S+.% Pr&'+d&n.
8/20/2019 Sassy Senior and Steppers Scholarship C - 2016
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Florida Chapter P.O. Box 440322Jacksonville, FL 32222Phone: 04!"""!#43$!%ail: %s.lad&'#0(&ahoo.co%
Ohio Chapter #)400 *iles +oad -ite #04Cleveland, Ohio 44#2Phone: 2#)!/2)!04/#
The Sassy Seniors & Steppers
T%& Ja(4')n+**& (%a.&r )- T%& Sa''y S&n+)r' S.&&r' In($ +' )--&r+n a @00$00 '(%)*ar'%+$ T%&
a*+(an. u'. /& a radua.+n '&n+)r -r) a *)(a* %+% '(%))* +n N)r.%&a'. F*)r+da$ T%& a*+(a.+)nu'. /& ()*&.&*y -+**&d )u.$ U'& add+.+)na* '%&&.' )- a&r a' n&&d&d$ ")u ar& r&')n'+/*& -)r
&n'ur+n .%a. y)ur .ran'(r+.' and SAT )r ACT '()r&' ar& -)r3ard&d .) .%& -)**)3+n addr&''5 T%&
Sa''y S&n+)r' S.&&r' In($ P$O$ B) >>022 Ja(4')n+**&, FL 2222$
T%& addr&'' +' a*') *+'.&d )n .%& -+na* a& )- .%+' a*+(a.+)n$ P*&a'& ()*&.& a** ar.' )- .%+'
a*+(a.+)n$ In()*&.& )r +**&+/*& a*+(a.+)n' 3+** /& d+'ua*+-+&d$ P*a(& y)ur na& +n .%& .) r+%.
()rn&r )- &a(% a& )- y)ur 'u/+..&d a*+(a.+)n$
(Please Type or Print all information)
1. BACKGROUND
Name (Last, rst, middle initial) -_______________________________________________
Address: ______________________________________________________________________
City: ______________________________ State: _______________ ip: _______________
Telep!one N"m#er: ________________________ So$ial Se$"rity N"m#er: %%% -%%-
________
&mail address _____________________________
'ate of irt!: _______________ Se%: ________
i*! S$!ool: ____________________________________________________
Co"nselor: ________________________________ Telep!one: __________________________
+o"r rade Point Aera*e: ____________________ (./ S$ale)
SAT S$ores: 0er#al ______________ or ACT S$ores: &n*lis!
___________
8/20/2019 Sassy Senior and Steppers Scholarship C - 2016
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Florida Chapter P.O. Box 440322Jacksonville, FL 32222Phone: 04!"""!#43$!%ail: %s.lad&'#0(&ahoo.co%
Ohio Chapter #)400 *iles +oad -ite #04Cleveland, Ohio 44#2Phone: 2#)!/2)!04/#
The Sassy Seniors & Steppers
at! ______________ at!
_____________
2. GOAL SETTING AND ACHIEVEMENT
a. 3!at eld of st"dy do yo" plan to p"rs"e in $olle*e4
________________________________________________________________
#. List at least 2, t5o year $olle*es or four year "niersities to 5!i$! yo" !ae appl
___________________________________ _______________________________
6. &7P8&SS90&N&SS: 3rite a // 5ord essay: Tell (s a)o(t #o(r hero an ho he+she
inspire #o(
. &7T8AC;889C;LA8 AN' C<;N9T+ ACT909T9&S:
a. N&ATN&SS C<;NTS. Please type or print all information on a separate s!eet of
paper 5it!
t!e !eadin*:
=&7T8AC;889C;LA8 AN' C<;N9T+ ACT909T9&S=.
#. 'esired >ormat: (see #elo5)
P<S9T9<N ';8AT9<N
'&SC89&
<8AN9AT9<N &L' (o?+r.-o?+r.)
+<;8 ACT909T+
&7APL&:
9. eta Cl"# em#er 1/?@@-?/1
A$ademi$ onors Cl"#
8/20/2019 Sassy Senior and Steppers Scholarship C - 2016
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Florida Chapter P.O. Box 440322Jacksonville, FL 32222Phone: 04!"""!#43$!%ail: %s.lad&'#0(&ahoo.co%
Ohio Chapter #)400 *iles +oad -ite #04Cleveland, Ohio 44#2Phone: 2#)!/2)!04/#
The Sassy Seniors & Steppers
2. eta Cl"# Se$retary B?//-?/1 A$ademi$ onors
Cl"#
6. eta Cl"# President @?@@-B?// A$ademi$ onors
Cl"#
. S$!ool &nsem#le em#er 1/?@B-?// Sin*er
. order a#ies em#er B?//-?/1 Clini$ Assistant
et$.:
. 3<8 &7P&89&NC&
N&ATN&SS C<;NTS. Please type or print all information on a separate s!eet of
paper
5it! t!e !eadin*:
=3<8 &7P&89&NC&D
a. List all Eo#s for ea$! s$!ool year, een if yo" 5orFed t!e same Eo# in apreio"s s$!ool
year. >or t!e p"rpose of t!is appli$ation, t!e s$!ool year r"ns from /1
A"*"st "ntil 61 G"ly of t!e ne%t year.
#. 'esired >ormat: (see #elo5):
C<PAN+ ';8AT9<N (o?+r.-o?+r.) +<;8 G<
'&SC89PT9<N
&7APL&:
1. PeopleHs 'r"* Store 1/?@@-/1?// Sto$F
Person
2. $'onaldHs 8esta"rant /2?//-12?// Cas!ier
8/20/2019 Sassy Senior and Steppers Scholarship C - 2016
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Florida Chapter P.O. Box 440322Jacksonville, FL 32222Phone: 04!"""!#43$!%ail: %s.lad&'#0(&ahoo.co%
Ohio Chapter #)400 *iles +oad -ite #04Cleveland, Ohio 44#2Phone: 2#)!/2)!04/#
The Sassy Seniors & Steppers
I. A3A8'S AN' AC9&0&&NTS:
a.N&ATN&SS C<;NTS: Please type or print all information on a separate s!eet
of paper 5it! t!e !eadin*:
JA3A8'S AN' AC9&0&&NTSD
#. List all re$o*nition re$eied for ea$! s$!ool year, een if yo" re$eied
t!e same
re$o*nition in a preio"s s$!ool. >or t!e p"rpose of t!is appli$ation, t!e
s$!ool year r"ns
from /1 A"*"st "ntil 61 G"ly of t!e ne%t year.
$. 'esired >ormat: (see #elo5)
'&SC89PT9<N <> 8&C<NT9<N 'AT& 8&C&90&'
&7APL&
1. Sportsmans!ip A5ard for Tra$F and >ield I?//
2. <"tstandin* St"dent A5ard I?//
6. <"tstandin* St"dent A5ard I?/1
et$.:
. 9NCL;'& 39T +<;8 APPL9CAT9<N:
- <ne $opy of yo"r !i*! s$!ool trans$ript t!ro"*! t!e senior year fall
semester.
- Copy of SAT or ACT s$ores.
- At least t!ree letters of re$ommendation (one m"st #e from a $o"nselor <8
tea$!er at +<;8 s$!ool.)
8/20/2019 Sassy Senior and Steppers Scholarship C - 2016
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Florida Chapter P.O. Box 440322Jacksonville, FL 32222Phone: 04!"""!#43$!%ail: %s.lad&'#0(&ahoo.co%
Ohio Chapter #)400 *iles +oad -ite #04Cleveland, Ohio 44#2Phone: 2#)!/2)!04/#
The Sassy Seniors & Steppers
- Any $olle*e letters of a$$eptan$e yo" may !ae re$eied.
- 2- "in(te // ieo &ioraph# o st(ent 3incl(e aars, school
acti!ities, etc.4 ieo ill )e shon at the aars )an'(et.
All information proided m"st #e tr"e and a$$"rate to t!e #est of t!e appli$antHs
Fno5led*e. Si*n !ere to $onrm t!is statement: _________________________ 'ate:
_________________________
A BRIEF INTERVIEW ay fo!!o" #f you are se!e$te%& A' a"ar%s Ba'(uet "#!! )e
*e!% No+e)er ,-./ for re$#p#e'ts& O'!y app!#$a't "#''ers "#!! )e 'ot#0e% )y
p*o'e& Retur' t*#s app!#$at#o' a'% re(u#re% %o$ue'ts NOT LATER THAN -,
Apr#! ,-./ to1
T%& Sa''y S&n+)r' S.&&r' In($
P$O$ B) >>022
Ja(4')n+**&, FL 2222