Return to library by Friday, March 21, 2014

Gallatin High School

Betty and Tom Neal Scholarship

Maximum of $1,000 awarded to a GHS student attending Vol State. Awarded on
the basis of economic need.
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 briefly why you should receive this scholarship.
Priority will be given to those who show economic need.
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