Girl Scouts of Southern Alabama, Inc. Loucretia Hollingsworth College Scholarship Named in honor of a past Girl Scouts of the Deep South board president, this one time scholarship of $1,000.00 will be awarded each year to a graduating senior Girl Scout who will be enrolled full time at an accredited college or university. Applicants must reside in one of the following counties: Baldwin, Clarke, Choctaw, Conecuh, Escambia, Mobile, Monroe and Washington. The aim of this scholarship is to reach the girl who may or may not have outstanding academic achievements, but has the ability to develop in college and who has demonstrated a commitment to helping other people. Selections will be based first and foremost on the applicant s contribution to society through service and her desire to continue this contribution through a career of helping others. Application Procedures 1. Complete the application and essay and submit by March 1 st of graduating year to the Mobile Service Center. 3483 Springhill Avenue, Mobile, AL 36608 2. Complete applicant sections of recommendation forms. Present each one with a stamped, addressed envelope to the Girl Scout Leader, Teacher/Principal and one other person who knows your service oriented activities (i.e. pastor, club advisor, youth leader). Request that each recommendation is returned to the Service Center by March 15 th of graduating year.
Loucretia Hollingsworth Scholarship Application Application Return by March 1 st of graduating year to the Mobile Service Center. Please attach additional pages if needed. Please attach a one to two page essay describing, What Girl Scouting Means to Me. Name: First Middle Last Address City State Zip Phone: House # Cell # E-Mail Troop # Service Area IM High School Graduation Year G.P.A. (based on 4.0 scale) ACT Score SAT Score Parent/Guardian Information Name: First Last Community Service List community service projects you participated in as a Senior Girl Scout. Type of Service Where Dates Hours/Days List community service projects you participated in independently or with other groups outside of Girl Scouting (i.e. school, clubs or church). Please limit to high school years activities. Type of Service Where Dates Hours/Days
Loucretia Hollingsworth Scholarship Application continued Leadership List leadership activities or courses that you participated in as a Senior Girl Scout. Type of Activity/Course Where Dates/Time Period List leadership activities or courses you participated in independently or with other groups outside of Girl Scouting (i.e. school, clubs or church). Please limit to high school years activities. Type of Activity/Course Where Dates/Time Period Education List colleges or universities you have applied to, and whether you have been accepted or not. College/University Acceptance Yes No Have Not Heard Yes No Have Not Heard Yes No Have Not Heard Why is financial assistance needed? Describe your career goal and how you hope to obtain it.
Loucretia Hollingsworth Scholarship Reference Form Completed by the applicant. Name Phone # Reference Completed by reference. Please complete and mail or fax this form by March 15 th to Girl Scouts of Southern Alabama, Inc. 3483 Springhill Avenue, Mobile, AL 36608 Fax: 251.344.4181 Check one rating in each category to assess the following qualities of the applicant. A= Excellent B= Average C= Poor D= I Don t Know A B C D Potential for growth Poise and ease in meeting people Attitude toward differences in people Ability to share ideas, feelings, possessions Ability to relate to others Ability to take initiative Ability to assume responsibility Resourcefulness Maturity What are the first words that come to mind to describe the applicant? What observations have you made about the applicant as a person (i.e. peer relationships, integrity, leadership potential)? Have you observed particular strengths and/or weaknesses in the applicant, which would affect her career goal? Indicate any special circumstances explaining why financial assistance is needed for her college education. Signature Position Date
Loucretia Hollingsworth Scholarship Reference Form Completed by the applicant. Name Phone # Reference Completed by reference. Please complete and mail or fax this form by March 15 th to Girl Scouts of Southern Alabama, Inc. 3483 Springhill Avenue, Mobile, AL 36608 Fax: 251.344.4181 Check one rating in each category to assess the following qualities of the applicant. A= Excellent B= Average C= Poor D= I Don t Know A B C D Potential for growth Poise and ease in meeting people Attitude toward differences in people Ability to share ideas, feelings, possessions Ability to relate to others Ability to take initiative Ability to assume responsibility Resourcefulness Maturity What are the first words that come to mind to describe the applicant? What observations have you made about the applicant as a person (i.e. peer relationships, integrity, leadership potential)? Have you observed particular strengths and/or weaknesses in the applicant, which would affect her career goal? Indicate any special circumstances explaining why financial assistance is needed for her college education. Signature Position Date
Loucretia Hollingsworth Scholarship Reference Form Completed by the applicant. Name Phone # Reference Completed by reference. Please complete and mail or fax this form by March 15 th to Girl Scouts of Southern Alabama, Inc. 3483 Springhill Avenue, Mobile, AL 36608 Fax: 251.344.4181 Check one rating in each category to assess the following qualities of the applicant. A= Excellent B= Average C= Poor D= I Don t Know A B C D Potential for growth Poise and ease in meeting people Attitude toward differences in people Ability to share ideas, feelings, possessions Ability to relate to others Ability to take initiative Ability to assume responsibility Resourcefulness Maturity What are the first words that come to mind to describe the applicant? What observations have you made about the applicant as a person (i.e. peer relationships, integrity, leadership potential)? Have you observed particular strengths and/or weaknesses in the applicant, which would affect her career goal? Indicate any special circumstances explaining why financial assistance is needed for her college education. Signature Position Date