The Jackson-Butts County
Council for the Arts Scholarship

APPLICATION FORM

Applicant’s Full Name: _____________________________________________________________________________

Home Address: _____________________________________________________________________________

Email: _____________________________________________________________________________

Phone: _____________________________ (HOME) ___________________________________(CELL)

Applicant’s Current High School: _____________________________________________________________________________

Applicant’s Current Institute of Higher Education: ____________________________________________________________________________

Freshman _______________ Sophomore _____________________ Junior _________________

Applicant’s Current Employer: _____________________________________________________________________________

Parent/Guardian Information

Name: _____________________________________________________________________________

 (please indicate if Mother, Father, or Guardian)

Address: __________________________________________________________________________________________________________________________________________________________

Phone number(s): ___________________ (HOME) __________________________________(CELL)

Scholarship Qualifications and Instructions

• The application must be complete and include all necessary attachments.

• The applicant must be a Butts County resident having graduated from an accredited area high school or from a registered Georgia Department of Education home school program or be a graduate of an accredited Butts County Secondary School.

• The applicant must plan to attend an accredited institution of higher learning with the intent of pursuing a field of study related to the arts. This includes fine arts, graphic arts, music, performing arts, creative writing, dance, or other art-related fields such as video or film editing.

• Jackson-Butts County Council for the Arts will award one $1,000 scholarship to be utilized for educational costs, including books, supplies, tuition, etc.

• The scholarship will be issued with both the institutions and student’s name on the check.

• Applications must be submitted to the Guidance/Counselor’s office at the high school, or to a member of the Arts Council’s scholarship committee by April 15th.

• The scholarship winner must notify the Jackson-Butts County Council for the Arts of acceptance of the award by July 31st, to receive the scholarship.

Applicant MUST attach the following:

1. Two letters of recommendation. These letters should be from those who have personal knowledge of your talents and abilities in your chosen field of study. They cannot be from immediate family members.

2. An autobiographical essay (1-2 pages) with reference to your plans and goals, as well as your involvement in extra-curricular activities and in the community. How will you use your talents?

3. Transcript of your grades and classes

4. SAT or ACT verification, if required by the higher learning institute

5. Acceptance letter/evidence of admission to an accredited institution of higher learning, indicating your field of study. (If not yet accepted, this information will be required at the time the scholarship is awarded.)

Please complete the following about your studies, participation, and achievements:

Academic Performance & current grade point average (4.0 scale):_____________

Have you taken honors classes? If yes, please list:

_____________________________________

As a high school student, have you taken any college credit classes? Yes ______

Please list classes and grades:

__________________________________

Have you taken SAT or ACT exams? Yes ______ No _______

Scores: ____________________________________________

Participation in extra-curricular activities and any leadership positions you may have held:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

List clubs/organizations in which you have participated, and any offices you have held:

List any academic or extra-curricular honors or awards you have received:

What employment of Volunteer experiences have you had? Please list and tell what you learned from them:

Where do you plan to continue your education?

_____________________________________________________________________________

Address: _____________________________________________________________________________

Date you will begin attending: ____________________________________________________________________________

Would you be living on campus or commuting? ____________________________________________________________________________

Financial Need Assessment: (Will be managed as strictly confidential information) What circumstances or factors would describe or influence your financial need?

PO Box 1664 Jackson, GA 30233 Email: ccjackson@sprynet.com

https://www.jacksonartscouncil.com

The Jackson-Butts County Council for the Arts Scholarship

The Jackson-Butts County
Council for the Arts Scholarship