Rachel Blasingame Memorial Scholarship Application Form

This scholarship fund has been established to honor the memory of Rachel Blasingame, an outstanding Mesquite High School student, who was tragically killed in a car accident. Scholarship money will be awarded to qualified high school seniors who desire to attend Abilene Christian University in Abilene, Texas, the college that Rachel planned on attending. Scholarship awards are based primarily on financial need as determined by ACU. Not all applicants will receive a scholarship.

Name: _______________________________________________________________

Address: _____________________________________________________________

City: ______________________ State: ___________ Zip: _____________________

Home Phone: (      )___________________E-Mail: ____________________________

Cell Phone: (      )___________________Church: ____________________________

Use another sheet of paper to answer these questions.

1. List your honors and awards that you have received during your high school years.

2. What service and volunteer activities have you participated in during your high school years?

3. Why do you want to attend Abilene Christian University and what are your goals for your life?

You must also submit three letters of recommendation: one from a teacher, one from a church leader and the third one from another teacher, church leader, community leader or an employer.

Please mail your paper with your questions answered, a copy of your most current report card (no grades lower than a 70 accepted) and this application form to:

The Rachel Blasingame Scholarship

2617 Cameron Way

Mesquite, TX 75181

For questions or concerns, call Julie Blasingame at (469) 726-0137, or E-mail at julieblasy@sbcglobal.net

Deadline: must be postmarked no later than April 30th.