MONROE COUNTY EDUCATION RETIREES ASSOCIATION Monroeville, Alabama APPLICATION FOR A BOOK SCHOLARSHIP FOR STUDENTS MAJORING IN EDUCATION Personal Information First Name Middle Initial Last Name Home Telephone No. Cell No. Home Mailing Address Parents’ Name Father’s Place of Employment Mother's Place of Employment List Scholarships you have received: Academic Informatio Name of High School Date of Graduation + Tobe completed by School Counselor Signature of Counselor Rank in Class. © ACT Composite Score i © High School GPA College you are planning to attend: Have you been accepted to a college?Ifyes, where? > Please attach a copy of: 1) high school transcript 2) two letters of recommendation (one from the Counselor and one from a teacher who is teaching you now) 3) a 100 word Essay on why you plan to major in Education. 4) A picture of the Applicant Read and Sign Below > All of the information on this form is true and complete to the best of my knowledge. I plan to Major in Education at University. Applicant's Signatur Date Parent Signature > Please return application to: Sandra Lambert 2094 Shiloh Road Frisco City, Alabama 36445 > Deadline Date ~ May 1, 2017