The Frank and Betty Gooden Estes Scholarship

Please answer all questions completely and accurately. Applicants must have lived in Houston County for a minimum of three (3) years.

Application Deadline: March 29 at 5pm

Name

Title

First Name *

Last Name *

Suffix

Social Security Number

Student ID Number

Phone Number

Address

Address Line 1

Address Line 2

City

Zip/Postal Code

Email Address

Date of Birth

High School

GPA

Post Graduate Institution

Post Graduate Institution Address

Address Line 1

Address Line 2

City

Zip/Postal Code

Major

Enrollment Date

Graduation Date

Please list any other scholarships that you have applied for and/or received:

Please list any other award monies, specific leadership or other awards you have earned:

Please list any community involvement with any civic, charitable, educational, or faith based organizations:

Please list any extracurricular activities and other information pertaining to this scholarship award:

Please indicate awards received (scholastic, citizenship, artistic, athletic, youth organizations, etc.):

In addition, please attach: An essay of no more than two pages indicating your financial need and why you should be selected to receive this scholarship and Letter(s) of recommendation from high school counselor and other organization(s).

Attach Signatures for Applicant and Parent/Guardian Signature

The Frank and Betty Gooden Estes Scholarship

Perry Area Chamber of Commerce