CHATTANOOGA CHAPTER OF THE LINKS, INCORPORATED

2019 SCHOLARSHIP APPLICATION

Mail To: The Chattanooga Chapter of the Links Incorporated
P.O. Box 23543 Chattanooga, TN 37421
Must be postmarked by: February 17, 2019

Instructions: Use the application provided and print legibly. Please submit a W-2 form, Income tax return and award letter
to document public assistance for each working family member along with your High School Transcript and 2 letters of
recommendation. Omit your financials if you want to be excluded from consideration for a financial need-based
scholarship. If you choose not to submit your financials you would only be considered for an academic achievement
scholarship. Additional attachments or variations thereof other than those listed on the application WILL NOT BE
CONSIDERED.

SECTION I: APPLICANT INFORMATION

Last Name First Name Middle Initial Date of Birth

Address City, State & Zip

Phone Number Alternative Phone Number

Student’s Email

SECTION II: STUDENT’S ACADEMIC HISTORY

High School GPA on 4.0 Scale Graduation Date

SAT Score ACT Score

Please List Honors & Awards

SECTION III: FAMILY INFORMATION

Parent/Guardian’s Name Relationship
□ Parent □ Grandparent □ Legal Guardian
Parent/Guardian’s Occupation

Address City, State & Zip

Phone Number Alternative Phone Number Parent/Guardian’s email

Number in family including the applicant
Number of family members now in college full­time; number in college part­time
Family Annual Income
SECTION IV: COLLEGE/UNIVERSITY INFORMATION
College/University Address

Desired Major/Field of Study

SECTION V: EXTRACURRICULAR HIGH SCHOOL ACTIVITIES

SECTION VI: COMMUNITY ACTIVITIES

SECTION VII: ESSAY

Please attach a short, original essay (1000 words maximum) discussing your background, personal goals, educational,
professional and/or career aspirations. Please explain why you selected your degree program and educational institution
and how these choices will help you to meet your goals and aspiration. Include the reasons you should be selected as a
Chattanooga Chapter of the Links Scholarship Recipient.

I declare that my responses on the application were completed accurately and honestly, to the best of my knowledge.

Applicant’s Signature Date

Mail To: The Chattanooga Chapter of the Links Incorporated

P.O. Box 23543, Chattanooga, TN 37421
Deadline: February 17, 2019

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