The Ruthie Claire Simon Scholarship Form

Introduction.

Each scholarship year, i.e. every four years, Trailer Bridge will award one (1) $40,000.00 scholarship to one applicant that meets the eligibility requirements to assist with costs in attending the college or university of their choice. Applicants must be a graduating high school female soccer athlete from Clay, Duval, and St. Johns counties with demonstrated financial need.

This scholarship will be awarded on the basis of Academics, Athletic Achievements, Community Service and Financial Need.

Please complete all items on this application form during one session, as you are not able to save and come back later. Application must be submitted by November 30, 2022.

Getting To Know You.

Full Name*

First Middle Last

Phone*

Email*

Age*

Date of Birth*

Home Address*

Street Address City State ZIP Code

Parent/Guardian Information.

Name of Parent/Guardian #1*

First Last

Email*

Name of Parent/Guardian #2

First Last

Email

Address of Parent(s) or Guardian(s)*

Street Address Address Line 2 City State ZIP Code

Academics.

High School Cumulative GPA*

Attach a copy of your High School transcript*

Drop files here or

Max. file size: 50 MB.

College or University to be attended*

Attach a copy of your Letter of Acceptance*

Drop files here or

Max. file size: 50 MB.

Field in which you plan to major*

Community Service, Volunteer, or Extracurricular Activities.

What kind of community service projects, volunteer, or extracurricular activities have you performed or participated in the last two years?*

Example: Chairperson of food drive, tutoring, Habitat for Humanity, etc.

Financial Status.

Family Gross Income*

Explain your need of financial assistance*

List any college scholarships you have received*

Please list by year, name, and value. If none, please put N/A.

Please attach any FAFSA information and Financial Aid Award Letters*

Drop files here or

Max. file size: 50 MB.

Achievements in Soccer & Other Activities.

How long have you been playing soccer?*

Number of years played on the JV soccer team?*

Number of years played on the Varsity soccer team?*

List any awards/recognitions you have received in soccer*

If none, please put N/A

Scholastic Achievements*

If none, please put N/A

Community Awards/Recognitions*

If none, please put N/A

An Essay on the Delicacy of Life.

Complete a 500 word minimum essay on the “Delicacy of Life”, describing how you have maximized the opportunities you have been given and what you hope to achieve in the future.*

Submission.

I certify that all parts of the application and required attachments are correct and true. I understand that if any part of provided information is found to be false at any time, it may result in disqualification from or revocation of award. I also understand that if I am awarded a scholarship as a result of this application, my name may be published and announced at Trailer Bridge’s discretion.

Signature*

First Middle Last

Date*