JMC Scholarships Application

	JMC Scholarship Application PLEASE PRINT OR TYPE
Term you will enter Samford __Fall/Year____________ __Spring/Year__________ __Summer/Year_________					Classification: __Freshman __Transfer: __ Sophomore__ Junior__ Senior__
Name___________________________________________________________ __Male __Female Last First Middle Address_______________________________________________________________________________________ Street/BoxNumber ______________________________________________________________________________________________ City County State Zip Code
Father' Name: Mr./Dr./Rev._______________________________________ Living Yes__ No__ Occupation/Employer_____________________________________________________________________________ Mother's Name: Mrs./Dr./Rev._____________________________________ Living Yes__ No__ Occupation/Employer_____________________________________________________________________________ Do you have siblings in college? Yes__ No__ High School_____________________________ City_____________________ State________________________ Intended Field of Study__________________________________________________________________________ High School GPA_____________ ACT______ ________ SAT______ ________ (Most Recent Scores) English Composite English Composite
List your senior-year courses:_____________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________
ACADEMIC HONORS/ACTIVITIES List any academic honors or awards you received in grades 9-12: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________
List any communications-related activities, clubs, service projects, sports, church, or community organizations in which you have participated?
ACTIVITY	YEARS PARTICIPATED				POSITION(S) HELD
	9	10	11	12
______________________	____	___	___	___	__________________________________________
______________________	____	___	___	___	__________________________________________
______________________	____	___	___	___	__________________________________________
______________________	____	___	___	___	__________________________________________
______________________	____	___	___	___	__________________________________________
List any communication-related work experience you have had.
JOB	EMPLOYER				DATES	HOURS PER WEEK
______________________	_________________				_________________	_______________________
______________________	_________________				_________________	_______________________
______________________	_________________				_________________	_______________________
______________________	__________________				_________________	_______________________
______________________	__________________				_________________	_______________________
Briefly discuss why you are interested in Journalism/ Mass Communication. ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________