College or University of choice:* Your Name:* Address* City* Zip* Phone* High School* Grade Point Avg.* Guardian/Parent Names* Proposed Major* List any activities, honors and leadership roles that might be relevant to the scholarship (i.e. high school/community/volunteer activities, honors and recognitions)*Goal Statement: Write a statement below of your educational aims, chosen career, plans for accomplishment and any other information you consider to be pertinent. Please be aware that the selection committee places a strong emphasis on this statement.*Signature*CERTIFICATION: I hereby certify that to the best of my knowledge, all information submitted for this scholarship is complete and correct. Should I be awarded the scholarship, I consent to my name and picture being released publicly, and shared on the Meridian Chamber of Commerce social media pages and internal member newsletter.
