Alleghany Education Foundation

The Alleghany Education Foundation provides

scholarship and enrichment opportunities to students

in Alleghany County.

Dr. Hal Stuart, M.D. Scholarship

Purpose

This annual scholarship of $500 is to aid a senior from Alleghany High School with limited resources but a desire to further his or her education. The graduate must be accepted by an accredited two or four year college or university in a medical field.

Criteria

a. Definite need for financial assistance: 50%

b. Scholastic Achievement: 40%

c. School activities: 10%

The first runner-up in the event the original recipient should forfeit the rights to the scholarship.

Announcement

The scholarship will be awarded each year during Awards Day at Alleghany High School by a member of the family or the Chairman of the Alleghany High School Science Department. After the winner is announced, he or she will be expected to sign an acceptance in the Guidance Office.

Last Name

First Name

Middle Name

Telephone

Email Address

Address

PO Box

City

State

Zip

Age

Date of Birth

Sex

Male

Female

Father's Name

Living or Deceased

Living

Deceased

Mother's Name

Living or Deceased

Living

Deceased

Number of Brothers

Number of Sisters

Father's Place of Employment

Mother's Place of Employment

Family Income (after tax deduction)

Please list all other scholarships that you have received and the amounts:

Name of college or university that you plan to attend:

Accepted:

Yes

No

Course of study that you plan to pursue:

Grade Point Average

Number of students in your graduating class:

Your rank:

Offices and honors during high school:

Clubs during high school:

Sports and other activities:

Hobbies:

Please include the following: 1. Letter stating reason for applying for the scholarship and plans for the future. 2. Transcript of high school grades

Please include your name in the file name and in your letter!

Signature:

114 S. Main St • Post Office Box 33

Sparta, North Carolina 28675

PHONE

336-372-5010

EMAIL

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