2016 Southern Loss Association Scholarship Application
NOTE: Print this and submit to the address listed below along with other materials requested.
This application is for a scholarship awarded by the Southern Loss Association. To be eligible for this Scholarship, the applicant must:
A) Must produce evidence of enrollment as a full time student at a post- secondary institution accredited by accrediting agencies or state approval agencies recognized by the U.S. Secretary of Education for the school semesters of Spring 2016, Fall 2016, and/or Spring 2017;
Include evidence of current GPA and Classification (i.e. Freshman, Sophomore…)
AND either “B” or “C”
B) Be the child, grandchild, great-grandchild or a legally adopted child of a current dues paid member of the Southern Loss Association,
C) Include a written letter of recommendation from a current dues paid full or associate member of the Southern Loss Association.
Please send a completed application to the following address:
Southern Loss Association Scholarship Applications
PO Box 421564
Atlanta, GA 30342
All scholarship applications must be post marked by September 30, 2016.
II. Personal & Education Information: (Please print)
Last Name First Name MI
Address City State Zip
Home Phone, Alternative Phone, and Primary Email Address
Southern Loss Association Member Sponsor Name & Contact Telephone
High School Attended Postsecondary Institution (College / University) GPA
III. Extracurricular: Activity Role & Responsibilities (Attach a separate sheet, if necessary)
IV. Plans and Dreams for the Future: (Attach a separate sheet)
V. Essay Question:
What person or persons in your life have made a difference in your character development and why?
Please attach your typed essay. The essay should be no more than 250-300 words in length.
SLA Member Signature