TONY S. DAVIS MEMORIAL SCHOLARSHIP

An award program for youth

graduating from high school in June 2005

2005 A p p l i c a t i o n

Please print or type

Full Name of applicant: __________________________________________________

Parent’s full name: ______________________________________________________

Home Address: _________________________________________________________

______________________________________________________________________

City State Zip Code

Telephone Number: ________________ Lease Number__________________

Which housing assistance program are you in?

Public housing □ Housing Choice Voucher (formerly the section 8 program) □

How long have you been a public housing resident or a participant in the Housing Choice Voucher Program (Section 8)?_______________________________________

(To be eligible, the applicant must have been a resident for at least one year.)

Name and Addresses of schools to which you have applied or plan to attend:

List the schools at which you have been accepted:

High School expected graduation date: ______________________________________

Name of High School from which you expect to graduate: ________________________

Latest grade point average (unweighted): ____________________________________

Please attach:

• 500 word essay (double-spaced) describing: 1) why you feel you are deserving of the scholarship, 2) your academic goals and 3) how the scholarship will assist you in achieving them
• Two letters of recommendation: one from an HOC staff person (if possible), and one from a school administrator (teacher, principal, guidance counselor)
• Official High School Transcript – (not a copy)
• Letter of acceptance from a college or university for the fall of 2005
• A list of the extracurricular activities in which you have participated during your high school years.
• Most recent SAT or ACT scores

All required materials must be submitted by June 1, 2005. Incomplete applications will be disqualified.