Madelon DeVoe Talley Scholarship Application

Please complete and submit the application below. For more information please click here to send us an email.

Applications are due each year by 5pm on Black Friday (The Day After Thanksgiving).

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Cell Phone

(###)

###

####

Date of Birth

YYYY

Last 4 Digits of Your Social Security #

Name and location of the college you are attending, or plan to attend.

If you have not yet made a decision, list your choices.

Have you applied or been accepted yet? If not, when will you apply?

What led you to choose this school?

What general areas are you interested in pursuing?

What is the approximate cost of attending this school?

What community service have you been involved with in the past two years?

Give a brief description of what you did and the amount of time involved.

List your job(s) and/or use of time since you last went to school.

ESSAY: In 500 words or less, write an essay to answer this question: What led you to return to school?