2016 Southern Loss Association Scholarship Application

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.

Applicant Signature




SLA Member Signature