JOHN L. HURT, JR. SCHOLARSHIP
THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION , serving The purpose of the scholarship is to
support post-secondary educational opportunities for high school graduates and
candidates for graduation from One
or more scholarships of up to $2,500 will be awarded on a competitive basis to
a student who has been admitted to an accredited two-year or four-year college
or university in the continental Students who would like to be considered
for the scholarship program should send one (1) copy of the completed
application and supporting documents to THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION on or before For additional information, please contact: THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION
434-793-0884 www.cfdrr.org The John L. Hurt, Jr.
Scholarship About
the Scholarship: THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION , serving Major
John L. Hurt was the founder of the town of Who is eligible? 1.
An eligible student must demonstrate a devotion to academics, or be
otherwise talented, and have a need for financial support. 2.
An eligible student must be a candidate for high school graduation, or
a graduate, from 3.
Preference will be given to students from How to
Apply: If a student
meets the preceding eligibility criteria, he/she must submit: 1) the John L. Hurt, Jr. Application form; 2)
high school transcript and recent SAT/Achievement scores; 3) list of
extracurricular activities and community services; 4) list of academic honors;
5) career interests; and 6) any other information which may be helpful to the
selection committee. NOTE: Students must
submit the attached Demonstration of Financial Need form to the Financial Aid
Office of each college under consideration. JOHN L. HURT, JR. SCHOLARSHIP THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION (434)793-0884 Receipt Deadline: Part I: Application
Form to be completed by Scholarship Applicant Last Name:___________________ First Name:__________________Initial________ Social Security #____________________Telephone #_________________________ Address:______________________________________________________________ High School:_______________________________Graduation Date:_____________ Parent(s) or Guardian(s):_________________________________________________ Address:______________________________________________________________ _____________________________________________________________________ Did you attend the John L. Hurt, Jr. Elementary School? ___________________________ College Choices Tuition and Educational Expenses 1st Choice:_________________________________ 1.___________________ 2nd Choice:________________________________ 2.___________________ 3rd Choice:________________________________ 3.___________________ ***Please Attach a Current Photograph*** PART II: Demonstration of
Financial Need – VERY IMPORTANT High School Seniors who apply for the John L. Hurt, Jr. Scholarship should complete the top section of this form. Part II of this application should be completed, signed and forwarded by the applicant to each college’s Financial Aid Office, in conjunction with the applicant's regular submission of the Free Application for Federal Student Aid. The college will then submit the completed form. I, _____________________________ hereby authorize___________________________ (name) (college) to advise THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION as to my demonstrated
financial need for the purposes of my application to the John L. Hurt, Jr. Scholarship. Signed:_____________________________________ Date:______________________ Social Security #:_____________________________ **************************************************************************** TO: Financial Aid Officers Please forward the requested information to THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION as soon as possible. I have reviewed the FAFSA of the above named student. Demonstrated financial need is as follows: Estimated cost of attendance $_____________________ Expected family contribution $_____________________ Anticipated aid from other sources $_____________________ Estimated Need $_____________________ Comments (if any): Financial Aid Officer:_______________________________________________________ Address:_________________________________________________________________ Phone #:______________________________Fax#:______________________________ FINANCIAL AID OFFICERS: Please return this completed form BY THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION , P.O. Box 1039, THE COMMUNITY FOUNDATION OF THE DAN RIVER REGION 541 Loyal Street P. O. Box 1039 Danville, Virginia 24543 Ph: (434) 793-0884 Fax: (434) 793-6489 E-mail: communityfoundation@gamewood.net
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