Carolinas Virginia Pheasant and Waterfowl Society

Wayne P. Hawkins Memorial Scholarship Program



Wayne P. Hawkins






Part I

Name: (last) ___________________________ (first) ____________________________ (MI) ______________

Address: _________________________________________________________________________________

City: ___________________________________________ State: ________________ Zip: ________________

Phone: ____________________________________ Cell: __________________________________________

Fax: ___________________ Email: ____________________________________________________________

Name/s of Parent(s) or Guardian(s):____________________________________________________________

Address/City/State/Zip: ______________________________________________________________________

Mother’s Occupation: ______________________________

Father’s Occupation: _______________________________


Part II

University/College Name: ____________________________________________________________________

Address: _________________________________________________________________________________

City: _________________________________________________ State: ________________ Zip: __________

Major Course/Program Applied For: ____________________________________________________________

Any other programs:_________________________________________________________________________

Degree Sought: ____________________________________________________________________________

Have you been accepted? Yes: ____ or No: ____ (If yes attach a copy of acceptance letter.)

Full Time: ______ Part Time: ____ (If Part Time, please explain in your letter of introduction)

Intended Semester of Entrance: Fall: ___ Spring: ___ Summer: ___ Year: ______

Amount of Enrollment: ____________________



Part III

Name and Address of High School: _____________________________________________________________

Dates attended: __________________________________ GPA: ____________ SAT Score: _______________

Please attach a copy of official high school transcript and test scores.

_____________________________________________________________________  __________________
Signature of Counselor:                                                                                                          Date

Printed Name of Counselor



Part IV

Church, Local Association Service: ______________________________________________________________


School/Community Activities: __________________________________________________________________


Any Internships or Employment in related aviculture field: ______________________________________________


Honors/Special Recognition: ___________________________________________________________________


List names and address of three (3) references. These persons should be non-relatives. (Minister, teacher, other adult leaders).

1. ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

The applicant must include three letters of recommendation from the references in their completed packets. Please have sent to Scholarship Committee.

All applicants must write an introductory letter indicating personal interests, reason for applying for a scholarship and future education plans. Please attach to scholarship form.

Read carefully before signing.

1. I understand any false statements on this application shall be sufficient cause for rejection.

2. My academic transcript may be released to the Wayne P. Hawkins Memorial Scholarship Committee. All information will be kept confidential.

3. I understand that if I am awarded a scholarship/grant by the Carolinas Virginia Pheasant and Waterfowl Society, it has been awarded to me on the basis of the information provided in this application. If my situation changes and I do not start the course or program, it is my understanding that I will be requested to return the full amount of the award.

__________________________________________________________________  __________________
Signature of Applicant                                                                                                     Date

__________________________________________________________________  __________________
Signature of Parent(s) or Guardian(s)                                                                               Date



Carolinas Virginia Pheasant and Waterfowl Society

Wayne P. Hawkins Memorial Scholarship Program

Reminders and Checklist for Applicant



A completed application consists of:

____ Three (3) letters of recommendation, non relative (minister, teacher, other adult leaders)

____ A letter of introduction about your self (photos if you wish)

____ Financial statement of previous year applied. (Copy of W-2 form).

____ Typed original essay 250 words minimum or one-page double spaced and a maximum of 500 words.

____ Official transcript and test scores from guidance counselor

____ Materials returned in a large envelope


Eligibility Requirements

1. Applicant must be a high school senior or a registered university/college student

2. Applicant must be able to document financial need.

3. Applicant must possess a cumulative average of "B" or better and/or a minimum 3.0 cumulative on the uniform grading scale.

4. Applicant must be majoring in a field of Aviculture.


Responsibility of Applicant

1. Adhere to deadlines

2. Submit all information to the Scholarship Committee by ……….

3. Complete application in its entirety.

4. Check application for correctness or information before submitting to the committee.

5. Confirm that the three letters of recommendation have been sent and received.

6. Submit a typed, original essay. The essay must be a minimum of 250 words or one page double spaced, and a maximum of 500 words from a theme to be chosen by the Scholarship Committee.

7. Attach to the application a current high school transcript with guidance counselor’s signature.

8. Proof of income (copy of W-2 form)

9. If necessary, be available for a phone interview.


Responsibility of Scholarship Recipient

1. A required article for print in the Society Magazine to update status of education and/or aviculture experiences.

2. Inform the Scholarship Committee Chairperson of the selected university or college and the date the scholarship check should be disbursed to the institution at least forty-five (45) days prior to due date.

3. Send written notification to the Scholarship Committee of changes in plans, status or location at least sixty (60) days prior to any disbursement of funds.

4. Send to Scholarship Committee the date of Awards Days Ceremony at the local high school. Or if you are an established university/college student date of any Awards Ceremony.

Mail Applications To: CVPWS/SCHOLARSHIP, PO Box 1118, Winnsboro, SC 29180-1161