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
Punctuality
Leadership Potential
Results Oriented
Maturity
TOTAL:
Overall impression of applicant: (please circle one)
Highly recommend Recommend Recommend with reservation Do not recommend
Signature __________________________________ Date __________________
E-mail all forms:
To:
Subject: The Louise S. Brinson Scholarship

Mrs. Louise S. Brinson


