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317.831.6509

Scholarship 2024

Please read the entire list of instructions below carefully. Incomplete applications or applications with missing information and attachments may not be considered.

An electronic version of this application is available on your high school’s website. You can also request an application to mindy@mooresvillechamber.com.

To be eligible, you must be a high school senior attending either Mooresville or Monrovia High Schools or Mooresville Christian Academy with aspirations to participate in a post-secondary education program.

Note: This is a reimbursement scholarship. If selected as a potential recipient, you must turn in receipts for education expenses prior to receiving funds.

Application and essay must be typed or legibly printed in blue or black ink.
Please complete and submit the original application and required attachments, assembled in the following order:

A. Scholarship Application (4 pages)
B. Copy of your Cumulative High School Grade Transcript
C. Essay (2 pages)
D. Two letters of recommendation from two separate individuals/non-relatives.

One from an educator/teacher from your school.
One from a person in your community, not affiliated with your school.

Make a copy of your completed application and attachments for your own records.
Questions should be directed to Mindy Taylor at the Mooresville Chamber office. Contact information is listed below.

Applications and required attachments must be sent together and received in the Chamber office by noon on Friday April 19, 2024.

To hand deliver application, please make arrangements with:

Mindy Taylor
Greater Mooresville Chamber of Commerce
4 East Harrison Street
(317) 831-6509

To mail application, send to:

Greater Mooresville Chamber of Commerce
PO Box 62
Mooresville, IN 46158

Download Document

Section I: Applicant Information

Name(Required)

First Middle Last

Permanent Street Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Date of Birth(Required)

MM slash DD slash YYYY

High School(Required)

Graduation Date(Required)

MM slash DD slash YYYY

Section II: Education Information *

Current High School GPA(Required)

Current Class Rank(Required)

Days Absent in 9th grade(Required)

Days absent 10th grade(Required)

Days Absent in 11th grade(Required)

Days absent 12th grade(Required)

* You may need to consult your school’s administration to answer these questions.

Section III: Post-Secondary Information

Name of college or university you are planning to attend:(Required)

Address of college or university(Required)

Street Address City State / Province / Region ZIP / Postal Code

Major, Program, or Field of Study(Required)

Have you been accepted?(Required)

YES

** Have you received other scholarships to support your attendance at this college or university?(Required)

YES

Please specify amount(s) and source(s) of funding.(Required)

Section IV: Family and Household Information

Please answer the questions below regarding to the household in which you currently live.

Number of pre-elementary school students to high school students(Required)

Number of full time college students living in household(Required)

Select the category that indicates your gross household annual income, including child support, social security, and disability income.(Required)

Under $30,000

$31,000 - $40,000

$41,000 - $70,000

$71,000 - $90,000

$91,000 - $199,000

$200,000 or more

Section V: School and Community Activities

In the table below, list school & community activities (including church and volunteer activities) in which you have participated during the past 4 years. Begin with the most recent activity in which you have participated. If needed, an additional sheet may be attached.

List School & Community

Organization and Activity	Number of Months	Currently Involved?	Leadership Positions, Awards, Recognition	Actions

There are no Entries.

Maximum number of entries reached.

Section VI: Work Experience

Using the table below, list work experiences in which you have participated during the past 4 years. Begin with your most recent or current position. If needed, an additional sheet may be attached.

Work Experience

Employer	Hours worked per week	Dates of Employment	Job Description	What Grade	Actions

There are no Entries.

Maximum number of entries reached.

I hereby affirm that the information provided on this form is accurate and complete to the best of my knowledge.

Applicant’s Signature(Required)

Date(Required)

MM slash DD slash YYYY

Parent/Guardian Signature(Required)

Date(Required)

MM slash DD slash YYYY

Please write a brief typed essay in response to one of the three essay question options below. Be sure to attach this essay to the scholarship application form.

Option 1: How will attending college help improve your life?

Option 2: If you could have lunch with anyone, dead or alive, with whom would it be and why? What would you talk about?

Option 3: What was the most difficult time in your life? Describe the event and how your perspective on life has changed as a result of the difficulty?

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Mooresville Chamber of Commerce

4 E Harrison St #209,
Mooresville, IN 46158

317.831.8509

Hours

Monday 9am – 4:30pm
Tuesday 9am – 12pm
Wednesday 9am – 12:00pm
Thursday 9am – 4:30pm
Friday 9am – 12pm
Saturday & Sunday Closed

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Scholarship 2024

Applications and required attachments must be sent together and received in the Chamber office by noon on Friday April 19, 2024.

Section I: Applicant Information

Section II: Education Information *

Section III: Post-Secondary Information

Section IV: Family and Household Information

Section V: School and Community Activities

Section VI: Work Experience

I hereby affirm that the information provided on this form is accurate and complete to the best of my knowledge.

Please write a brief typed essay in response to one of the three essay question options below. Be sure to attach this essay to the scholarship application form.

Mooresville Chamber of Commerce

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