STUDENT SCHOLARSHIP APPLICATION FORM

Instructions:

1. Please complete the online application and essay via Google Docs.

2. Request the following information:
a) Two (2) Letters of Recommendation--one must be from either a teacher or counselor at your
school.
b) One (1) Official Transcript--all applicants must be graduating high school seniors from the
Bessemer/Birmingham/Jefferson County Areas and have a 3.0 or above GPA.
c) An Official Letter of Acceptance from your 4-year college/university

3. Submit it, with all applicable signatures, by Friday, April 24, 2015 to:

Pinson Valley High School
ATTN: Mrs. Fredrica Nelson-Fortune
6895 Highway 75 North
Pinson, AL 35126

***PLEASE NOTE: If this application is incomplete, inaccurate, or not signed by Friday, April 24, 2015, it will not be considered.***

    Personal Information

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    Academic Information

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    Nepotism Statement

    A student related to a current DRF Board Member can only receive a scholarship if exclusively based on academic merit or athletics.
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    DeMeco Ryans Foundation Scholarship Essay Prompt

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    Authorization Information

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    Student Signature

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