Roxanna Glass Memorial Scholarship Application

Name:     ___________________________________

Address:    _________________________________

                  _________________________________

Telephone: _____________________________
 

High School Attended: _________________________________________

Cumulative Grade Point Average: ____________________
 
 Counselor's Verification of GPA:
           Counselor's Signature _________________________________       Date ________________

College or University you will be attending: _______________________________

Intended Major Field of Study: ______________________________________
 

Extra Curricular Activities and Community Involvement:
 
 
 
 
 
 
 
 

 

Please submit the following:

A. Two Letters of Recommendation (Please use the attached form):
 Letters of Recommendation have been requested from:
  1.
  2.

B. Two Brief Essays (please use the attached form)

C. Example(s) of your work in the area of music or the fine arts (audio tape of music, pictures of art works, writing samples, video of drama or dance, etc.).  Please submit a self-addressed envelope with sufficient postage if you wish the sample to be returned.

 

Short Essays:

1. Please discuss your academic and professional goals and how the college/university experience will enable you to reach these goals.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

2. Please discuss your formative experiences in music or the fine arts and how this background helped you set and will help you achieve the academic and professional goals listed above.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Completed Application should be mailed NO LATER THAN MARCH 20TH  to:
Roxanna Glass Memorial Scholarship Fund
c/o Mr. and Mrs. Thomas H. Glass, Jr.
133 Fayette Street
Buckhannon, WV 26201
 
Letter of Recommendation

Name of applicant:

How long have you known the applicant?

What is your relationship with the applicant?
 

How would you rank the applicant when compared with college-bound high school students?
 

   Academic Ability Work Habits Citizenship
Top 1%           
Top 5%           
Top 20%           
Top 50%           
Lower 50%          
 

Additional comments (please include evaluation of musical and/or artistic talents):
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Name/Position: _________________________________________   Date: __________________
 

Please mail Letter of Recommendation No Later Than March 2OTH Directly to:
Roxanna Glass Memorial Scholarship Fund
c/o Mr. and Mrs. Thomas H. Glass, Jr.
133 Fayette Street
Buckhannon, WV 26201