Return to library by Friday, April 18, 2014

Gallatin High School

Paula Wakefield Memorial Scholarship

Given in memory of a Gallatin High School English Teacher/Department
Chairperson Paula Wakefield. $500 will be awarded to a student who excels in
writing and the field of English.
Students Name:________________________________________________________
Address:_______________________________________________________________
Parents Names:________________________________________________________
Fathers place of employment:______________________________________________
Mothers place of employment:_____________________________________________
College you plan to attend:________________________Major:___________________
Number of children supported by parents_____________________________________
Number of children in college (include yourself):________________________________
ACT Composite:__________Grade Point Average:___________
What school or class offices are you now holding? What clubs are you a member?
What school sports do you participate in?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Essay: On a separate typed page state your reason(s) for requesting a scholarship.
Also, include how writing/English is important to your future. Please make the essay
unique to this application. The essay should not exceed 500 words.
I hereby acknowledge that the information submitted herein is true and accurate.

________________________________________________________________________
Signature of Applicant

Date

________________________________________________________________________
Signature of Parent/Guardian

Date

________________________________________________________________________
Signature of School Official

Date