Service to university: (include all extracurricular involvement in university-related organizations)

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1 Division of Application DATE: Concord ID Number Name: Permanent Home Address: School Address: Cell Phone: Current Student Status: Freshman Sophomore Junior Senior High School attended and year of graduation: County and state from which you graduated Semester and year you plan to do student teaching: Declared Major: Overall GPA: US Citizen: yes no GPA in Major: WV Resident: yes no Date became WV Resident: (M/Y): Service to university: (include all extracurricular involvement in university-related organizations)

2 Service to community: Honors and Recognitions (college years): s currently receiving: Additional information: Please attach to this application a word narrative describing why you are deserving of the scholarship(s) for which you are applying. The committee will use your statement as one of the criteria in the selection of recipients. Please include ONE reference from a Concord faculty member. Return all application materials to the Division Office, 101 Marsh Hall by March 1, I, the undersigned, believe that all of the information on this application is true and correct to the best of my knowledge. I understand that I must be a full time student during the semesters for which I am awarded a scholarship. I understand that all scholarships awarded for consecutive semesters can be forfeited if there is failure to comply with criteria as set forth in this application. Signature of Applicant

3 Read the criteria closely. If you do not meet all the criteria do not check the box. The only exception is if it says preference to a specific county that does not exclude you from applying. It only means that if someone from that county applies they will be given first preference. Use your current student status (fresh, soph, jr, sr.) to determine if you meet that criterion Division Name Criteria Mary Holroyd Sampson Gillie Lousie Leary Delta Kappa Marguerite Miller CU sophomore majoring in elementary education, 2.5 GPA cumulative freshman yr. at CU, resident of WV, remain in satisfactory academic standing and in good standing with the university, demonstrate financial need Admitted to the Teacher Ed program at CU/junior status. preference to Raleigh Co./ resident of Must be a CU sophomore majoring in education, resident of WV preference to Pikeview and Princeton High School Grads, maintain 3.0 GPA during freshman yr. at CU, awarded 6 consecutive semesters Check ONLY if you meet the criteria Lawrence J. (Pacie) Pace Jr. Billie Martin McClaugherty Mary Parker Smith Winnis Hylton Landing Beasley Dressler Henry Clay Beavers Graduate of Mercer, McDowell, Monroe, Wyoming, Summers, or Raleigh Co. HS, student committed to a career of assisting handicapped individuals,, references (two teachers, counselors, and/or principal) demonstrated financial need, 2.5 GPA Freshman at CU majoring in, Non- Traditional student, resident of WV, preference will be given to graduates of any Mercer Co HS Preference to teacher education or humanities, graduate of James Monroe HS, 3.0 GPA ACT 20 or SAT equivalent, ranking in graduating class, financial need, maintain 3.0 GPA for renewal, major, Resident of Raleigh or Wyoming Co. HS, ACT/SAT, 3.5 GPA, 2 recommendations, Academically talented freshman Students from Summers Co. WV or Broward Co. FL preferred yet anyone is eligible. Student must show academic promise and must major in teacher education, demonstrate financial need Graduate of River View HS, WV resident, preference to teacher education majors 3.0 GPA, ACT/SAT ranking in graduating class, references (two teachers, counselors, and/or principal), maintain 3.0 GPA and stay in good standing with the university, demonstrate financial need

4 Arthur J. and Irene K. Benson Joseph I. Soto Family Teacher Freida Joy Riley Current CU student, admitted into the education program, preference to southern WV student, WV resident, 2.75 cumulative GPA, awarded during semesters of student teaching, determined by Division Current CU junior majoring in education, admitted into the Teacher Program, resident of WV, two recommendation s from faculty, cumulative 2.5 GPA, maintain GPA for renewal Junior majoring in, 3.0 GPA, admitted in Teacher program, WV resident & graduate of WV HS, 2 recommendations Beryle Crockett Santon Diana Delung Perry Carucci Family Bingham Teacher Glenn and Sandra Lowe Family Booth major, admitted to Teacher program, 2.75 GPA, WV resident, preference to southern WV Junior majoring in, 2.5 GPA, admitted in Teacher program, southern WV residents, women w/ dependent children, 2 references, personal statement on importance of reasoning Resident of McDowell Co. preferred graduate of River View HS, 3.0 GPA, ACT/SAT, ranking in graduating class, teacher Ed or visual/performing arts 3.0 GPA, Sophomore education major, can be renewed for 6 regular semesters Students majoring in Business or, 2.0 GPA, must maintain2.5 GPA Junior, elementary ed., 3.0 GPA, preference to McDowell or Wyoming Co., financial need, Worrell Soph., jr., or sr., preference to Wyoming Co. GPA 3.0, Hatcher Freshman at CU with 24 hours, 2.5 GPA, Mercer Co. resident, financial need Tierney Completed freshman year with 24 hours and a 2.5 GPA, demonstrates financial need.

5 Undergraduate Waiver 3.0 GPA and no other tuition specific scholarships such as HSTA, DHHR, U564, or outside scholarships designated for tuition.

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