Fillable Gary Keisling ACCESS Scholarship Academic Scholarship Application for (James Madison High School)

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Gary Keisling ACCESS Scholarship Academic Scholarship Application for (James Madison High School)

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Page 1 of 6
Gary Keisling ACCESS Scholarship
Ashworth College Continuing Education for Student Success
Academic Scholarship Application for
James Madison High School Freshmen
Entering January 2018
The ACCESS Scholarship for James Madison High School students is a four year
high school program scholarship including all tuition subject to details and requirements.
Requirements include a renewable one year scholarship for one year equivalent of
courses, two semesters, renewable on annual basis subject to academic satisfactory
progress requirements.
The Gary Keisling ACCESS Scholarship Program offers up to 22 scholarships each year
to new students who are interested in pursuing their education online in one of
Ashworth's 115-plus high school, career, and degree programs. Each student will be
given fair and equal treatment in the reviewing process.
1. SCHOLARSHIP APPLICATION PROCESS TIMELINE
All student applicants must read and understand this section.
APPLICATION AVAILABLE: January 1, 2018 – Scholarship information and
applications are available.
APPLICATION SUBMISSION DEADLINE: March 1, 2018 – All scholarship
applications and materials must be received between January 1 and March 1,
2018. For transfer students into a high school program, the high school
program application must be completed by this deadline and on file with the
Registrar.
Early, late, or incomplete applications will not be considered for this
scholarship.
RECIPIENT ANNOUNCEMENT: April 2, 2018 – Recipients will be
announced.
SCHOLARSHIP AWARDED: April 16, 2018 – Awards will be applied to
students’ program registrations.
Page 2 of 6
2. SCHOLARSHIP DETAILS AND REQUIREMENTS
All student applicants must read and understand this section.
The James Madison High School scholarship is open to first time freshman students
or transfer students enrolled after January 1.
Incoming first time freshman students must have an 8
th
grade GPA of 3.0 or better,
or equivalent. Transfer students must have an incoming transcript GPA of 3.00 or
better.
This application and the information contained here is for the guidance of students
and James Madison High School personnel and does not constitute a contract or
legal document.
Submit your application through the electronic process outlined below in Section 3.
If you are under 18 years old, you will need to provide a parent or guardian
signature and contact information.
Official transcripts are required; unofficial transcripts will not be accepted.
Applications with unofficial transcripts are considered incomplete.
Scholarship offerings and requirements are subject to change each award year. The
window for scholarship submission is January 1 to March 1 of each year. No early
submissions will be accepted.
Satisfactory Academic Progress Requirements: Recipients must maintain a 3.0 GPA
throughout their program of study, and complete two semesters of courses within
one year otherwise the scholarship is void and the student is liable for the tuition
cost.
Annual Renewal: The scholarship requirements are reviewed annually for renewal.
Renewal each year of all academic scholarships is contingent upon full-time
enrollment with a cumulative grade point average of 3.00 or better, and timely
completion of courses.
Student Engagement Requirements: Recipients will be required to participate in
selected community events as an ambassador for their program and to promote
educational access.
Students may receive only one scholarship through the James Madison High School
Scholarship Program. If awarded, make sure to maintain the required GPA for the
annual renewal requirement.
JMHS does not guarantee receipt of scholarship applications if not submitted
through the online electronic application process.
If you have questions, contact the Office of the Registrar at 800.224.7234.
Page 3 of 6
3. APPLICATION MATERIALS
All student applicants must read and understand this section.
All applicants must submit the appropriate program’s application materials. This includes an
application form, essay and transcripts.
Online Materials
o Academic Scholarship Application
Submit a completed application bearing the student’s signature and date of
application. If Applicant is under 18 then a parent or guardian’s signature is
required for a complete application.
o Essay
The essay is to be 250 to 500 words in length.
ESSAY PROMPT: Write a persuasive essay on why you would be a good candidate
for the ACCESS scholarship based on your high school aspirations and goals and by
providing three reasons why access to high school is important to you. Include
work experience, extra-curricular, volunteer work, and / or a personal story about
access to high school.
o SUBMISSION
Submit the completed application and essay to the following email address:
ACCESS-HighSchool@ashworthcollege.edu
Transcripts
o First time Freshman Students – Applicants for a scholarship must have an
appropriate 8
th
grade transcript on file with the Office of Registrar by the deadline.
Complete the Transcript section in the application. Transcript must have a
qualifying unweighted GPA of 3.00 or better, or equivalent.
o Transfer Students - Applicants for a scholarship must have an appropriate
transcript on file with the Office of Registrar by the deadline. Complete the
Transcript section in the application. Submitted transcript must have a qualifying
unweighted GPA of 3.00 or better, or equivalent.
Page 4 of 6
4. STUDENT INFORMATION
All student applicants must complete this section.
Name:___________________________________________ ___________________________________ __________________________
Last First Middle
Check one:
Academic Program
General Program
Social Security Number: ________-________-________ Birthdate: _____________________________________________
Telephone Number: (_______) _________-___________
__________________________________________________________________________________________________
Permanent Address
_________________________________________________ _______________ ________________________
City State Zip
Email Address:___________________________________________________________________________
5. 8th GRADE SCHOOL INFORMATION
Name of 8
th
Grade School from which Student Graduated: _____________________________________________
City, State and Zip: _________________________________________________________________________________________
Telephone: (______)_________-__________
Cumulative Grade Point Average (Unweighted, based on a 4.00 scale):_______________________________
Graduated: Yes No In progress Graduation Year: ____________________
6. TRANSCRIPTS
All student applicants must complete this section.
Existing or Transfer Student
James Madison High School Student ID: #____________________________
You are enrolled in:
Academic Program
General Program
Transcript Mailing Address
Official transcripts are required and should be sent to the address below. Official transcripts
are sent directly from the previous school to James Madison High School. Unofficial
transcripts will not be accepted. Applications with unofficial transcripts are considered
incomplete.
ATTN: Registrar, ACCESS Scholarship
James Madison High School
6625 The Corners Parkway
Norcross, GA 30092
Page 5 of 6
7. RELEASE OF INFORMATION
By checking this box, you agree to allow Ashworth College to use your essay and photo for
promotional purposes. Submitting a photo with your application is optional.
8. SIGNATURE
All student applicants must read and understand this section.
Applications must be submitted through the e-mail provided and must be signed before James Madison
High School can guarantee receipt of scholarship application.
___________________________________________________________________ ______________________________________________
Student Signature Date
9. PARENT / GUARDIAN INFORMATION
Students who are under 18 years old are required to provide information on their parents or
guardians.
___________________________________________________________________________________________________________________
Parent/Guardian Name
__________________________________________________________________________________________________________________
Parent/Guardian Street Address
_______________________________________________________ ______________________ _______________________________
City State Zip
Phone of Parent/Guardian:_________________________________________
eMail of Parent/Guardian: ___________________________________________________________________________________
___________________________________________________________________ ___________________________________________
Parent/Guardian Signature Date
(If applicant is under 18 years old, the parent/guardian information and signature is required before
application can be accepted.)
Page 6 of 6
Student Name: ______________________________________________________________________
10. ESSAY
All student applicants must complete this section.
The essay is to be 250 to 500 words in length.
ESSAY PROMPT: Write a persuasive essay on why you would be a good candidate for the ACCESS
scholarship based on your high school aspirations and goals and by providing three reasons why
access to high school is important to you. Include work experience, extra-curricular, volunteer work,
and / or a personal story about access to high school.
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Gary Keisling ACCESS Scholarship Academic Scholarship Application for (James Madison High School)

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Completed 6 August 2021

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