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L. H. Moseley Scholarship Application (1/2)
The L. H. Moseley Scholarship is awarded to an accomplished high school graduate of this year's senior class. The scholarship is based on merit, grades, financial need and the student's desire to succeed. Recipients of the L. H. Moseley scholarship may receive a minimum of $600 disbursement during the first as well as the second semester of their first year in an accredited private or public college, community college (early college) or university. The successful recipient will have a relative who attended the former Gumberry High School in Gumberry, NC between 1952-1982. The relative should be a (great) grandparent, parent, (great) aunt or (great) uncle. The following information should accompany the application: -Official high school transcript -Current year's photo -500 word essay responding to the following prompt: “I feel a college education is important because...” -Mention one of L. H. Moseley’s famous quotes. Share how the quote impacted your relative
and how it may impact you.
-Evidence of service to school and community -Letter of recommendation from school or community leader -Verification of acceptance at college or university -Evidence of financial need and personal/educational expenses Mail applications to: Patsey Moseley Tann P. O. Box 206 Garysburg, NC 27831 by June 15, 2021 L. H. Moseley Scholarship Application (2/2) Applicant's Full Name ___________________________ Date _______________ Address ______________________________________________________ Phone Number(s) Home __________________ Cell ___________________
Mother/Guardian's Name ______________________________________ Address ____________________________________________________ Phone Number(s) Home __________________ Cell____________________
Occupation __________________________________________________ Father/Guardian's Name ________________________________________ Address _____________________________________________________ Phone Number(s) Home __________________ Cell __________________
Occupation ___________________________________________________ Number of persons in household __________ Number of persons dependent upon parents/guardians _____________ (Maiden) name of (great) grandparent, parent, (great) aunt or (great) uncle who was Gumberry Alumnus ______________________ Phone Number ______________________________ Year relative graduated from/matriculated at Gumberry High School ________________ Your relationship to your relative _____________________________________________ Name and phone number of another relative who can verify alumnus' attendance at Gumberry High School _____________________________________________________________ The L. H. Moseley Scholarship Committee reserves the right to terminate disbursement second semester if recipient does not maintain a 2.0 GPA or is no longer enrolled at a college or university. |