Iris Louise Cox

Memorial Scholarship Application

NEW APPLICATION

Part I: Tell Us About You

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday

Month

Day

Year

Parent(s) / Legal Guardian(s)

Graduation Date

Month

Day

Year

High School Cumulative GPA

Have you been officially accepted into a college or university?

Yes

No

What is the name/address of college or university you will attend in 2025?

Anticipated Major area of study?

Do you anticipate receiving any other scholarships, or have you received any other scholarships? If yes, please indicate the name and amount of the scholarship.

Describe your education and career goals and objectives.

Describe any jobs you've had while attending high school.

Do any of those apply? (You may check more than one option.)

I am currently employed.

I plan on working part-time while attending college.

I plan on working full-time while attending college.

I do not plan on working while attending college.

I am undecided about my employment while attending colelge.

Describe any extracurricular activities, awards, honors, and offices held while attending high school.

Describe any community service achievements while attending high school.

Describe your hobbies and interests.

Part II: Personal Essay Form

In five hundred (500) words or less, please describe for the Selection Committee what makes you the most qualified recipient of the ILC Memorial Scholarship. You should include examples of Individualism, Loving personality, and Courage.

Personal Essay - In my own words

Part III: Letters of Recommendation

Applicants are required to submit a minimum of three (3) letters of recommendation from teachers, friends, or other individuals who are familiar with the student's abilities and qualified by their background or experience to evaluate those abilities.

Full Name - Recommendation #1

Email - Recommendation #1

Full Name - Recommendation #2

Email - Recommendation #2

Full Name - Recommendation #3

Email - Recommendation #3

Letter of Recommendation #4

Note:  Applications received without all of the above information will be considered incomplete and the application will not be considered.  An interview may be necessary after the scholarship committee has reviewed all applications.  The selection shall be final by the ILC Memorial Scholarship Committee.

I certify the information I have provided in this application is factual.

Yes

No

Signature

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