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The Louise Spivey Brinson

Middle and High School Scholarship

Scholarship Name:

The Louise Spivey Brinson Middle and High School Scholarship

Scholarship Value:

$ 200

Classifications:

Students who will be in 8th or 9th in the fall of 2017.

Minimum Overall GPA:

2.5

Eligible Schools:

Johnnie Carr Middle School and other selected schools

and St. Mark Missionary Baptist Church members

Application Deadline:

Sunday, May 14, 2017

How to Apply and Scholarship Details:

The Louise Spivey Brinson Middle and High School Scholarship provides a Johnnie Carr Middle School student and a St. Mark Missionary Baptist Church member who will be in 8th or 9th grade in the fall of 2017, who have demonstrated a commitment to his or her educational endeavors—behavioral and academic wise—with $200 to apply towards dress code, paper, pens, flash drives, computers, book bags, or any educationally related item.

Applicants for the Louise Spivey Brinson Middle and High School Scholarship must submit the following required materials:

1. Completed application form

2. Completed counselor or principal form

3. Completed Math or Science teacher recommendation

4. Completed English or History teacher recommendation

4. A typed 500-word essay, double-spaced in 12pt, Times New Roman font on the following topic:

How we present ourselves has much to do with how we are treated.

Think about the way you present yourself on a daily basis. Explain

what three characteristics about yourself that you wish to improve,

so that others will view you more positively.

How winner will receive the remittance:

The $200 will be paid directly to the parent/guardian for the usage of educational paraphernalia.

The Louise Spivey Brinson Middle and High School Scholarship

The essay will be scored according to focus and organization, mechanics and grammar, length, and overall effect.

The Louise Spivey Brinson Middle and High School Scholarship

Application

(Please print legibly using black or blue Ink.)

Date Submitted ________________

Parent/Guardian’s Name (Last) _______________________ , (First)_______________________

Home Phone ( )________________________ Cell Phone ( )________________________

Email address_______ _____________________________

Student’s Name (Last) _______________________ , (First)_______________________ (MI) ___

Address ___________________________________________________________________

City ___________________________ State ________________________ Zip ___________

Date of Birth __________ Current Grade & Age ___________ Female or Male ________

School or College/University Attending in the Fall of 2017 ___________________________

Which two career paths interest you? ____________________&______________________

How would you describe your attitude towards education and educators? (Only use the lines provided.)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Student’s Signature ____________________________________________ Date _____________

Parent/Guardian’s Signature _____________________________________ Date ____________

The Louise Spivey Brinson Middle and High School Scholarship

Counselor/ Principal Form

Circle the correct title: I am the counselor / principal.

Student’s Name (Last) _______________________ , (First)_______________________ (MI) ___

Address ___________________________________________________________________

City ___________________________ State ________________________ Zip ___________

Current Grade ___________ Current Age ___________ Female or Male ___________

Current Overall GPA ______________

Comments about GPA standards and school (optional):

____________________________________________________________________________________________________

Overall behavior and attitude of the student:

Counselor/Principal’s Signature __________________________________________________

The Louise Spivey Brinson Middle and High School Scholarship

TEACHER RECOMMENDATION FORM

Applicant’s Full Name _______________________________________________

The above named candidate is being considered for The Louise Spivey Brinson Middle and High School Scholarship. Teachers will use this form to determine if he or she meets the high standards of service, leadership, and character. Please complete the survey to the best of your ability. If you have questions or comments, please contact Mrs. Brinson-Provitt (benise.provitt@mps.k12.al.us). Please return this form to Mrs. Brinson-Provitt. DO NOT RETURN TO THE APPLICANT!

Person completing form : _________________ Circle (Math, English, History, Science Teacher)

Please rate the student using the scale provided. For responses of 2 or lower, please comment.

1= poor

3= average

5= excellent

Attitude

Acts Responsibly

Attendance

Social Skills

Respectfulness

Initiative

Ability to keep commitments/meet deadlines