Bell-Knox-Whitley KY-ASAP Scholarship Application The Bell-Knox-Whitley KY-ASAP organization awards one $500 for the most deserving senior in each county (Bell, Knox, and Whitley), having shown the greatest effort toward drug prevention initiatives in her/his school and community. Applications must be received by April 30 of each school year. The Bell-Knox-Whitley KY-ASAP reserves the right to not fund any scholarships based upon the quality of applications submitted. Name Address E-Mail Phone Number County High School Overall GPA Attendance Percentage (Cumulative) College or University Choice Field of Study or Career Selected Approximate Family Income On a separate page attached to this application, please describe your activities in promoting a drug-free lifestyle at your school and in your community. Examples can include your involvement in UNITE clubs, SADD, etc. Please submit your completed scanned application in a PDF to Susie Hart at susie.hart@corbin.kyschools.us Student Candidate Signature: _________________________________________________ Parent/Guardian Signature: ___________________________________________________ Guidance Counselor Signature: ________________________________________________ School Official #1 (Reference): ________________________________________________ School Official #2 (Reference): ________________________________________________ ______________ PHONE _____________ PHONE _____________ PHONE _____________ PHONE _____________ PHONE