2011

Thank you for your interest in the EICA’s Scholarship Award
The Edisto Island Community Association
SCHOLARSHIP AWARD APPLICATION FORM

Deadline - applications must be received by the committee by May 1

They may be mailed to EICA Scholarship Committee P.O. Box 269, Edisto Island, SC 29438
or given to the committee chairman Ms. Francine Morrison 8693161
or to committee member Dixie Songer869-9231

Name in full:___________________________________________________________

Home Address: ________________________________________________________________

Home Telephone: __________________                 Date of Birth:__________________

Parent or Guardian’s Name: ______________________________________________

HIGH SCHOOL RECORD

Name of High School:  ______________________________  Grade Point Average:______

Dates of Attendance:  from___________________    to   ______________________

Graduation Date:  __________________

COLLEGE PLACEMENT TESTS

Composite SAT score(s) _______________        ACT score ___________________

COLLEGE, UNIVERSITY, TECHNICAL OR TRADE SCHOOL PLANS

School Name: _________________________________________________________________

Address: ______________________________________________________________________

Date of Acceptance: __________________ NOTE: WE MUST HAVE A COPY OF THE
OFFICIAL ACCEPTANCE LETTER

If you are still undecided please list the schools to which you have applied:

First Choice: ___________________________________________  Accepted?      Yes      No

Second Choice: ________________________________________  Accepted?      Yes      No

Continue on back of this page if necessary.

Please list other scholarships or grants for which you have applied:

Scholarship Name: ______________________________________   Amount: $__________
Have you been given the award?   Yes    No    Maybe

Scholarship Name: ______________________________________   Amount: $__________
Have you been given the award?   Yes    No    Maybe

Scholarship Name: ______________________________________   Amount: $__________
Have you been given the award?   Yes    No    Maybe

PERSONAL STATEMENT
Please compose a one page statement about yourself in your own handwriting.  You
should describe your goals for continuing your education and also you life time goals. 
You may add anything you wish.  Attach your statement to the last page of this application.

RECOMMENDATIONS
Please ask your High School Principal and your choice of one Counselor and one Teacher to complete a recommendation letter and attach them to your application.  Please complete the following:

High School Principal’s Name:  __________________________________________________

      Telephone: ____________________________________

Guidance Counselor’s Name: ____________________________________________________

      Telephone: ____________________________________

High School Teacher’s Name: ____________________________________________________

      Telephone: ____________________________________

CERTIFICATION:  I certify that all the statements made in this application are true,
complete and correct to the best of my knowledge.  Further, that I have no objection
to the above information being made available to the members of The Edisto
Island Community Association Scholarship.

Applicant’s Signature:

__________________________________________________Date ____________________

Parent’s or Guardian’s Signature:

__________________________________________________Date ____________________

                     REMINDER

         THE FOLLOWING DOCUMENTS COMPRISE A COMPLETE APPLICATION:

         IF YOU DO NOT RECEIVE IMMEDIATE NOTIFICATION ACKNOWLEDGING
         RECEIPT OF YOUR COMPLETE APPLICATION, PLEASE CALL:

           FRANCINE MORRISON 869-3161

Return to EICA Home Page       

Return to PreserveEdisto Home Page