FRANKLIN D. WATKINS
MEMORIAL TROPHY AWARD
APPLICATION
Name ________________________________________________________________________
Last First Middle
Social Security Number ____________________ Cumulative GPA _____________________
Address ______________________________________________________________________
____________________________________________ Telephone _____________________
City State Zip
Name of High School ___________________________________________________________
Address ______________________________________________________________________
PLEASE ATTACH A COPY OF YOUR OFFICIAL TRANSCRIPT.
PLEASE ATTACH TWO PHOTOS AN (1) AN ATHLETIC PHOTO (2) A HEADSHOT.
By completing the application, students authorize The Alliance to use these pictures for publicity.
School and Community Activities
On a separate sheet, list the high school and community activities in which your have participated. Be sure to indicate how long you have participated, offices or positions of leadership you have held and awards or recognition received. You may wish to include significant travel and work experiences as well.
References
Give the names of three people (preferably a high school official, a community leader, and a member of your local media) whom you have asked to write letters of recommendation attesting to your academic ability and fitness to be a Watkins Award recipient.
Name _________________________________ Title __________________________
Name _________________________________ Title __________________________
Name _________________________________ Title __________________________
(Each letter should be placed in a sealed envelope, signed across the seal, and mailed with this application.)
Personal Goals Statement
On a separate sheet, write a 500-1000 word essay in which you describe a significant experience, relationship, or accomplishment that has helped you to define your personal career goals, commitment to high academic standards and substantive service to disadvantaged communities.
______________________________________ Return to:
Applicants Signature Brian L. Chisolm, National Director
Watkins Award Selection Committee
______________________________________ 102 Richard Ave
Date Severn, MD 21144
(410) 551-3462
* Application Deadline is November 6, 2006