Scholarship Application

ABOUT THE SCHOLARSHIP
The purpose of the scholarship is to identify students who live in the St. Martin’s community who qualify for educational assistance and to distribute funds to those students in an effort to assist them in achieving higher educational goals through a college education.

ELIGIBILITY CRITERIA
Must be a resident of St. Martins Village Neighborhood
Must be a graduating senior enrolled in a high school in Lexington, KY
Must have proof of acceptance letter to a college or university for undergraduate study by July 31, 2024
Community involvement, extracurricular activities, honors, and awards increase scholarship consideration.

REQUIRED MATERIALS
Official transcripts reporting grades through Spring 2024 must be stamped by the school registrar. The Scholarship Committee reserves the option to request an interview before making a final decision on the candidate’s application. Dress Attire: Business Casual (No Jeans!) Please include a photograph.

COMPLETED APPLICATIONS MUST BE POSTMARKED BY
JULY 31, 2024, AND SUBMITTED TO:
St. Martins Village Neighborhood Association
Scholarship Committee
C/o Mrs. Bonnie Peeples
909 Lima Court
Lexington, KY 40511

ST. MARTIN’S VILLAGE NEIGHBORHOOD ASSOCIATION
SCHOLARSHIP APPLICATION

Date of Application*

Student Information

Name*

Date of Birth*

Address*

Home Phone*

Cellphone*

Email*

Household Information

With whom is the student living: both parents, single parent, or legal guardian

Name/Relationship*

Total number of family members currently living in the household

List names of family members living in the home, including your name and relationship to the student. (Include yourself)

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Name

Relationship to Student

Student Employment

Employer

Address

Phone

Position

Supervisor

Duties/Responsibilities

Date of Employment

Community Service/Volunteer Work

Indicate the total number of community/volunteer service hours performed during the current school year.

Date*

Organization*

Number of hours*

Description of activities*

Date

Organization

Number of hours

Description of activities

HONORS AND AWARDS

Type of honor/awards:

GPA*

Athletic, Community Service, Employee, etc…

Name of Reward*

Date Received*

Name of Reward

Date Received

Name of Reward

Date Received

Academic Information

Name of College/University*

Address*

Major*

Career Goal(s)*

The information I have provided to the St. Martin’s Village Neighborhood Association Scholarship Committee is to the best of my knowledge true and accurate.

Student Signature*

Parent/Guardian Signature*

Transcript*

Acceptance Letter/Verification*

Photograph*