Meherrin on Mission Scholarship Application Form

Please fill out completely and attach appropriate documents. Thank you!

Applicant's Name

Mailing Address

Please include City, State, and Zip Code

Phone

What is the best way to contact you?

Communication is key during the selection process. It is your responsibility to provide timely responses to questions from the selection committee.

Date of Birth

Name & Address of Parent/Legal Guardian

{name}

Parent/Guardian's Email Address

Are you a Meherrin employee, a child of a Meherrin employee, or a child of a Meherrin vendor/supplier?

Are you related to anyone on the MOM Board of Directors, Meherrin Agricultural & Chemical Board of Directors, or the MOM Scholarship Committee?

Relatives are not eligible for MOM Scholarships at this time.

Current High School or College / University

Number of Years Attended

I will be attending the following school in the Fall of 2025

Proof of acceptance or current student enrollment from the above school is required prior to funds being released to the college or university.

I will be entering the above mentioned school as a

College Acceptance or Current Student Enrollment

Please attach proof of college acceptance or current student enrollment. This is required for receipt of funds.

Attach file

Drop files here

Semester Schedule

If available, please provide. The selection committee will need this to confirm full time / part time student status.

Attach file

Drop files here

Grade Point Average (GPA)

On a 4.0 Scale.

Proof of GPA.

Your most recent official school transcript required

Attach file

Drop files here

What specialty/area of study do you plan to major in as you continue your education?

List expenses you expect to incur per semester (approximate figures acceptable) Tuition

Books

Room & Board

Other Expenses

List your academic honors, awards, and membership activities while in high school

Community Involvement

Please attach proof of 40 hours of community involvement within the last 12 months (documented as a letter). Examples of community involvement are: community service, mission work with local church, Boy/Girl Scouts, Trail Life, athletic team involvement, Salvation Army, or employment.

Attach file

Drop files here

Personal Essay - "What is your purpose in life - and how does your educational future help fulfill that goal?"

Please attach essay. 1-2 pages, typed, double spaced.

Attach file

Drop files here

FINAL CHECKLIST The following items must be completed/attached to this application in order to qualify to be reviewed by the Scholarship Committee. Completed Application

Please review and check each box once completed

Proof of college acceptance or current student enrollment

Most recent official transcript

Personal Essay

Community Involvement Hours

Scholarship Period

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