Injury Scholarship Form For Approval Personal Injury Scholarship Robinson & Henry, P.C. is pleased to offer the 1st Annual Personal Injury Scholarship. We select one talented student each year for the Personal Injury Law Scholarship. This scholarship is available to high school seniors and current college students nationwide who plan on attending, or are attending, an accredited 4-year college/university or 2-year accredited community college in the Fall of 2017. The applicant or the applicant's family must have been involved in a personal injury accident. Special preferences will be given to members of a family that has recently been injured in a car accident. - Funds will be sent to the college you plan on attending - Scholarship is a one-time award of $1,500 - Scholarship is due by May 31st, 2017 - A winner will be announced in July 2017 Students are eligible to be considered for the scholarship if they meet all of the following criteria: • Are a citizen, national or legal permanent resident of the United States. • Must have a minimum 3.0 GPA. • You or your family was involved in a personal injury accident. • Scholarship is available for high school seniors and current college students nationwide. • Must be attending an accredited 4-year college/university or a 2-year community college for Fall 2017. • A current transcript MUST be submitted for consideration. • A 500-word minimum essay explaining you or your family's personal injury accident & how it changed your everyday outlook and possible future plans. Special preferences will be given to members of a family that has recently been injured in a car accident. • Although not required, applicants are encouraged to submit recommendation letters and/or resumes to substantiate their application for consideration. • Scholarship due May 31, 2017. • ANY INCOMPLETE OR LATE SCHOLARSHIP APPLICATIONS WILL NOT BE ACCEPTED. Personal Information:Name* First Last Email* 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 G.P.A.:*Name Of 4-year College/University or 2-year Community College You’ve Been Accepted To:*Extra Curricular Activities:School Related Activities and Clubs:Awards and Special Honors:Hobbies:Community Activities:Employment Information:Are You Currently Employed?*YesNoName of Business:Type of Work You Perform:Date of Employment:Financial Information:Family Income:$0 - $20,000$20,000 - $40,000$40,000 - $60,000$60,000 - $80,000$80,000 - $100,000$100,000+Essay Field: A 500-word minimum essay explaining you or your family's personal injury accident & how it changed your everyday outlook and possible future plans. Special preferences will be given to members of a family that has recently been injured in a car accident. *You can either write or upload your essay for this section below in our Document Load Section.*Document Load Section:500 Minimum Word Essay:Transcript:Recommendation Letters:Signature & Information Release Area: I attest that the information provided above is accurate to the best of my knowledge. I permit the Robinson & Henry, P.C. scholarship committee to review my academic records, to contact my the college/university to verify acceptance; and to contact me if any additional information is needed.Date of Submittal:Applicant Initials:EmailThis field is for validation purposes and should be left unchanged.