Eunice Scholarship Form PDF Details

Eunice scholarships are now available for undergraduate and graduate students. The deadline to submit an application is January 31, 2019. This scholarship program was created in memory of Eunice Kennedy Shriver, who dedicated her life to helping people with intellectual disabilities. Scholarships will be awarded based on a variety of factors, including academic achievement and community service. To be eligible for a Eunice Scholarship, you must be a United States citizen or permanent resident and have been accepted to or currently enrolled in an accredited post-secondary institution. Students with intellectual disabilities are encouraged to apply. For more information and to apply, visit the Eunice Kennedy Shriver National Institute of Child Health and Human Development website.

Form NameEunice Scholarship Form
Form Length3 pages
Fillable fields0
Avg. time to fill out45 sec
Other names1st, Cumulative, james eunice scholarship at valdosta state university 31602, Summarize

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Annually, $500 scholarships will be given to continue James' legacy of investing in others. Applicants must be a graduating senior from A South Georgia High School. All applicants must have a minimum high school GPA of 2.50. Applicants must reside in the United States, and be enrolled or intends to enroll in a post secondary college, technical college or university in the United States.

This scholarship will be awarded on the basis of Academics, Leadership Qualities, Extracurricular School Activities, Character, Community Service and Personal Integrity, Financial Need. A transcript must be attached in order to be considered.

Please complete all items on this application form. Application must be received by the Community Foundation by April 1st of the application year. Mail your completed application and supporting documentation to P.O. Box 2654, Thomasville, Ga. 31799


Getting To Know You





Full Name









Date of Birth



2. Home Address







Street/PO Box



State/Zip Code

Phone Number:

3.Name of Parents or Guardian

Address of Parents or Guardian

II. Academics










High School or College and Cumulative GPA: copy of transcripts must be attached


















Indicate latest SAT/ACT scores:



















6.College or University to be attended (copy of Letter of Acceptance should be attached.)

7.Field in which you plan to major?

III. Community Service Activities

8.Community service projects performed in the last two years (ex. tutoring, student body council, Habitat for Humanity, etc.)

IV. Financial Status- Need

9.Father's occupation and adjusted gross income

10.Mother's occupation and adjusted gross income

*Any information relative to financial status will be kept in the strictest of confidence by the Scholarship Committee.

11. List any college scholarships you have received, by year, name, and value:

12.Explain your need for financial assistance:

13.Explain briefly any employment you have had during the past year or anticipate in the summer. How much do you expect to earn?

V. My Achievements in High School/College and other activities

14.Offices held:

15.Honors recognized in school:

16.Summarize other interests and activities indicating major offices, responsibilities, honors, recognition, etc.

(a) School:

(b) Community:

17. Additional information you want the Scholarship Committee to know (e.g. unusual circumstances, etc.)

Check List:









SAT Score



College Accepted









Letter of Recommendation



College Major






















, 20













(Signature of Applicant)