Jimmy Waters Scholarship ApplicationJimmy Waters Scholarship Fund Criteria for Application • Applicant must be child or grandchild of active, retired or deceased POAG member. • Applicant must be a fulltime college student (12 or more semester hours). • Applicant must have completed at least one year of college.(Two semesters) • Application must have a need for financial assistance. • Application must be in POAG office by June 15. Are you a previous recipient of the Jimmy Waters Scholarship Fund?*NoYesIf previous recipient, what year?Applicant's Full Name* First Middle Last Suffix Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Date of Birth* Date Format: MM slash DD slash YYYY Applicant's relation to POAG member*SonDaughterGrandsonGranddaughterPOAG Member* First Last Membership years for POAG Member*example: 1999-2012Applicant has completed at least once year of college at....*List name of college or universityApplicant's Grade Point Average*For the upcoming academic school year the applicant will be a student at ....*List university or collegeService organizations and Honors/AwardsList any service organizations, clubs, etc to which you belonged in high school and college, as well as any honors or awards received.Why should you be chosen as this year's recipient?*Please state why you are applying for the scholarship and why you think you should be chosen as this year's recipient.Applicant's Electronic Signature (Type Your Full Name)*I do hereby certify and affirm that all information provided herein is true and correct to the best of my knowledge and belief, and permission is hereby given to the POAG to verify same.