PAUL MEYER AND REGINA MEYER SCHOLARSHIP TRUST

The Paul Meyer and Regina Meyer Trust provides scholarship funds to Sikeston High School graduates who will be enrolled in a graduate or undergraduate program at any accredited college or university in Missouri. The scholarship is payable directly to the recipient and the college or university and applied to the recipients scholastic needs. Applicants may reapply each academic year. Guidelines: 1. 2. 3. 4. Scholarships will be awarded with preference to financial need then scholastic ability. The scholarship recipient must be of good moral character. The scholarship recipient must have been accepted by or attending an accredited college or university in Missouri. Recipients will be required to maintain a 2.0 GPA (on a 4.0 scale) or its equivalent to continue eligibility for scholarship funds.

A scholarship recipient may use the funds for graduate or undergraduate study in the filed of their choice. Scholarships are granted for one academic year, and are payable by prorating for each semester. Applicants may reapply each academic year and must supply a copy of their grades both at the end of the first semester and when reapplying.

If you are presently a college student, you must furnish a copy of your grade transcript with the complete application.
1. Applicant Information (please type or print neatly) Name:_______________________________________Soc.Sec. No._________________ For your college account Address:_____________________________________Phone No. __________________ Colleges Phone No.____________________________ Students Cell Phone No.________________________

Year of graduation from Sikeston High School_________________

If you are currently a high school student please give the following:
Grade Point Average:___________________________Class Rank:_________________
(High School)

ACT or SAT score:_____________________________Bright Flight:_____Yes_____No ALL APPLICANTS: 2. Parents or Guardian Information Father: Name:________________________________________________ Or self/spouse: Address:______________________________________________ Occupation:________________________Wk. Phone __________ Employer:_____________________________________________ Mother: Or self/spouse: Name:________________________________________________ Address:______________________________________________ Occupation:________________________Wk. Phone___________ Employer:_____________________________________________ Approximate Household Income:_______________________________________ 3. Other Information (Answer A & B on Self if independent) A. How many people are dependent upon the income of your parent or guardian? (How many people live in your parents or guardians home)_________________ If your parents live apart, please answer this question separately. Father:____________________________ Mother:_______________________ B. How many of your parents dependents will be attending college next year?________ C. What course of study will you pursue?______________________________________ D. What college or university will you attend?__________________________________ E. When will you complete your education?____________________________________ F. List other financial resources and scholarships with amounts that you have obtained for your college education. a. Source______________________________Amount_____________________ b. Source______________________________Amount_____________________ c. Source______________________________Amount_____________________ d. Source______________________________Amount_____________________

G. On a separate sheet state why you are applying for this scholarship. (Explain your financial need including cost of tuition and fees, housing, books and supplies, expected family contribution, etc.) The committee will require verification of educational expenses, such as a bill from your educational facility or a listing from the schools catalog. H. Please supply the names, addresses and phones numbers of three (3) references. 1.

2.

3.

NOTE: 2011 income tax signature page (or page with adjusted gross income) or some other verification of income for working student, parents or spouse (whichever applicable) is required of all applicants. _______________________________________________Date_____________________ Applicants Signature Signature of Parents (if dependant) X__________________________________ X__________________________________ Please return in a sealed envelope by 3:00 p.m. April 13, 2012 to the Senior Counselor at Sikeston High School, 200 Pine St., Sikeston, MO 63801.

Unless this application is complete, it will not be considered. Please check carefully.