Reverend John H. Scott Memorial Fund

P.O. Box 74901
4860 Crown Ave.
Baton Rouge, LA 70874

Scholarship Application

Scholarship Application Form

*Name:

*Email:

*Phone:

Address Line 1:

City:

State/Province:

ZIP/Postal Code:

Date of Birth

High School

Email address and phone number of guidance counselor or official school representative:

Location (town and parish)

Grade Point Average

Clubs and Organizations (Include offices held)

Honors and Awards

College(s) to which you have applied or been accepted

Anticipated date of entry

Scholarships and grants you have been awarded

List those who are responsible for your support and their annual gross income (before taxes).

Title of Essay (to be emailed to azena@intergate.com):

The late Reverend Scott was a minister of the gospel who resided in East Carroll Parish until his death in 1980. He believed that people of God should stand up for their human and civil rights and for those of their fellowmen and that they should resist and never be satisfied with unfair treatment. In an essay of 1-2 typewritten pages, tell why you would like to be awarded a scholarship that memorializes the life of this Christian Activist. Email your essay to azena@intergate.com as a file attachment with the title SCHOLARSHIP ESSAY.

Submit Your Message:

IMPORTANT: After you submit your application, you must 1) email your essay and picture to azena@intergate.com; and 2) have a letter of recommendation forwarded to azena@intergate.com or P.O. Box 74901, Baton Rouge, LA 70874.

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P.O. Box 74901
4860 Crown Ave.
Baton Rouge, LA 70874