Print this form, fill out, and mail to the address below.

 

Tarkio College Alumni Association, Inc.
Charles 'Chuck' McAdams Memorial Scholarship Application

Applicant Name (Last, First, MI):_________________________________________________

Address:____________________________________________________________________

___________________________________________________________________________

Phone (include area code):_______________________________________________________

High School:_________________________________________________________________

Address:____________________________________________________________________

___________________________________________________________________________

Baccalaureate Institution:________________________________________________________

Address:____________________________________________________________________

___________________________________________________________________________

Relationship to Tarkio Alumnus:                Son             Daughter            Grandchild

Name of Tarkio College Alumnus related to you (name as on TC records; Last, First, MI):

___________________________________________________________________________

Year of graduation from Tarkio College:_______________________

Name of College or University you plan to attend: _____________________________________

Address:____________________________________________________________________

___________________________________________________________________________

Please submit a picture for placement in TCAA publications.


Each Applicant Must Submit

1) Copy of HS transcript/Certification of High School graduation. (can be submitted later if not available)
2) College transcript/Certificate of Baccalaureate degree (depending on candidate status)
3) Applicant's Birth Certificate showing the parent who is a Tarkio College graduate or, if a grandparent is a Tarkio College graduate, additionally submit the parent's birth certificate showing the name of the grandparent, who is a Tarkio graduate.  (If Birth Certificates are not available supply other documentation)
4) Two letters of reference as to character and scholarship (sent under separate cover or directly from writer)
5) A statement by the Applicant of his/her academic goals.
6) ESSAY by the applicant on "How do you interpret and plan to fulfill the 'Tarkio Experience'"? (500 words)
7) Picture

Send application and documents to:

Tarkio College Alumni Association
P.O. Box 111
Tarkio, MO 64491