Form Center

Briefly state what you learned from your Maurice Spear Campus experience.

INCLUDE A BRIEF ESSAY (150 WORDS MAXIMUM) DESCRIBING YOUR ACCOMPLISHMENTS, YOUR CAREER GOALS AND HOW YOU EXPECT TO FULFILL THOSE GOALS. INCLUDE YOUR PLANS FOR YOUR EDUCATION AND ENROLLMENT IN AN ACCREDITED POST SECONDARY INSTITUTION AND THE FIELD OF STUDY YOU WISH TO FOLLOW. ESSAY MAY BE INCLUDED IN THE SPACE BELOW OR YOU MAY UPLOAD THE DOCUMENT BELOW.

STATEMENT OF APPLICANT - TO MAURICE SPEAR CAMPUS ADMINISTRATION AND SCHOLARSHIP COMMITTEE: I understand that this scholarship, if granted to me, is for pursuing the course of study at the higher education institution stated in this application. If for any reason my plans change before the beginning the school semester, I will inform the Maurice Spear Scholarship Committee in writing. At that time the Scholarship committee will have the right to reevaluate my application and revoke my scholarship. I understand that failure to notify the Scholarship Committee of any changes in my college plans will result in an automatic revocation of any scholarship assistance that I might have otherwise received. I give permission to Maurice Spear Campus to release my high school grades and test scores to the Scholarship Committee.

TO MAURICE SPEAR CAMPUS ADMINISTRATION: I hereby give my consent to the appropriate Maurice Spear Campus personnel and/or administration to discuss information pertinent to my scholarship application with the members of the Scholarship Committee of the Lenawee Youth Center, Inc. Board. The purpose of this information is to assist the Committee in making a decision to fund, in whole, or part, a scholarship toward my pursuit of higher education.

Electronic Signature Agreement

By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

I agree.

Electronic Signature Agreement

By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.