Trustee russell madere




Дата канвертавання19.04.2016
Памер12.67 Kb.

2014 DIRTY SOUTH OFFICERS

DALLAS BOOKENBERGER “BOOK”, TRUSTEE

RUSSELL MADERE "BIG POPPA", PRESIDENT

TRAVIS SANFORD “MUMBLES”, VICE-PRESIDENT

RONALD MCKAY “BIG FLUFFY”, TREASURER

JOE RENFRO ”BULLY”, SGT-AT-ARMS

DERRICK COLLINS “DAWG”, SECRETARY

http://bibmcladirtysouth.com

BIBMC scholarship application
In memory of the members of the St. Michael’s Chapter
Sidney "SID" Simmons, EOW 04-23-11, Dirty South Charter President & Trustee

Shane "DERBY" Jividen, EOW 09-01-13, River Valley Member

Taylor "T.S." Segura, EOW 11-14-13, Dirty South Member
Criteria for candidate
2014 High School graduate and family member of any full time active or retired Peace Officers, Corrections Officers, Firefighters, EMS or active/retired U.S. Military personnel.
Personal Information
Name: ___________________________________
Home Address: ____________________________
Gender: ____________ Date of Birth: ______________ Phone #: ____________
Father's Name: ___________________Occupation: ________________

Mother's Name: __________________Occupation: ________________


School Information
Name of high school: __________GPA: __________ Graduation date: __________
# Students in class: __________ Rank: __________ Name of Principal: __________
ACT: __________SAT: __________
List honors or special awards received in high school. Use a separate sheet if necessary.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


High school activities and organizations. Include extra activities, church, sports, and

Community activities in which you have participated.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Part time employment? (Include periods of employment, hrs. /week, and earnings)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Where do you plan to go to college? ________________________________________________

____________________________________________________________________________________________________________________________________________________________
What career do you plan to pursue? _________________________________________________

____________________________________________________________________________________________________________________________________________________________
Why have you chosen this field of study? ____________________________________________

____________________________________________________________________________________________________________________________________________________________


Essay Question
BIBMC members will above all abide by and uphold the basic club principles of Honor, Courage, Commitment, Charity, Truth, Respect, Support and Loyalty.
Choose a minimum of three BIBMC club principles. In your opinion, explain the meaning of these principles and how they relate to your life. Good luck!
Completed package

Attach your essay to this form. Additionally, attach proof of college enrollment, High School Transcript/GPA, ACT score. Attachments can be copies of originals. All forms can be mailed to


Bryan Marie

613 Woodside Drive



Houma, Louisiana 70363


База данных защищена авторским правом ©shkola.of.by 2016
звярнуцца да адміністрацыі

    Галоўная старонка