DR. RAMON ROZZELL SCHOLARSHIP

High School Section



Instructions to Applicant:   This is the official application for the Dr. Ramon Rozzell Scholarship ($500.00) for the continued study of Spanish or Portuguese at the college selected by the scholarship recipient.  The following information should be on file in the office of the chairperson of the scholarship committee by March 1st. At least one scholarship will be awarded to a high school senior in Level II or above.  Scholarship funds will be sent to the recipient when the recipient provides verification of enrollment in and successful completion of a semester of Spanish in a college/university. 


The following items must accompany the application (Please do not include additional information):


A letter of recommendation from the applicant's foreign language teacher, who must be a member of the Arkansas DeSoto Chapter and the National AATSP;


A letter of recommendation from the counselor, principal, or another teacher attesting to the leadership, scholarship, character, etc. of the applicant; and


A copy of the applicant's high school transcript.
















Complete the following form. Do not leave any section blank.  You may attach additional pages if there is not enough room in the provided blanks.  Please do not send information that is not requested.


Name__________________________Arkansas Resident?  Yes___No___


Address____________________________________________________


City__________________________State_______________Zip_______


Phone_________________________Birthdate_____________________


Signature of Parent or Guardian______________________________


This section must be completed and signed by your High School Counselor or Registrar and should include a high school stamp or seal.

High School_________________________________Phone___________


Address____________________________________________________


City__________________________State_______________Zip_______


Rank in class____________No. in class___________GPA__________


Composite ACT score_________Date of Graduation_______________


Number of years of Spanish or Portuguese studied_____________

(Must have studied one language at least 2 years to be eligible)



Signature of School Counselor or Registrar  _______________________


Other foreign language(s) and number of years studied_______


__________________________________________________________


Language(s) and number of years offered by school district_____________


__________________________________________________________



Additional foreign travel or study in target language:




Foreign Language Awards:  (Spanish or Portuguese in particular)




Extra-curricular Activities:  (School and/or Civic)




Honors, Awards, and Offices held:




What are your plans for the continued study of Spanish or Portuguese?  Please be specific.




In what institution do you plan to enroll?__________________


When?________________(Must enroll with a minimum of 12 hours)


__________________________________

AATSP Member (Teacher)


__________________________________

Principal


Mail application to:  Vance Pitman

c/o Har-Ber High School

300 Jones Rd

Springdale, AR  72762

vpitman@sdale.org


ATTENTION:  ALL APPLICATIONS MUST BE COMPLETE AND ON TIME.  THE SPONSORING TEACHER MUST BE A CURRENT MEMBER OF STATE AND NATIONAL AATSP.  INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.