Shelley Johnson Scholarship Program
The Orange Grove/Lyman Chamber of Commerce has
always supported our local schools. The chamber has
always given out scholarships to graduating high school
students going to college, based on financial need and
academic scores. Shelley Johnson was a local, self employed
hard working single Mom that had a love for her community
and the Orange Grove/Lyman Chamber of Commerce. She
chaired our education committee that works closely with our
local schools. Shelley was a wonderful person and was loved
by everyone that met her. She died in 2005, leaving her
5 year old daughter behind. Due to the love that she had for
our community, our chamber and our children's education,
we decided to name the scholarship fund in memory of her.
Shelley Johnson
Below is the criteria and application for applying for the scholarship. Should you have any questions, please
contact the chamber office at 832-3028.
Basic Eligibility- Do not continue with this application if you do not meet the minimum requirements.
All applicants must be a senior in high school with a minimum GPA of 3.0 at the time the application is made.
All applicants must be able to answer “YES” to all three questions below to be eligible for the scholarship.
Do you have at least a GPA of 3.0? YES______NO_______
Are you planning to attend a Mississippi college? YES_____NO_____
Do you attend one of the following High Schools? Bible Baptist Academy, St. John High School,
Harrison Central High School, Temple Christian Academy, Norwood Christian Academy?
YES_____NO_____Name of High School__________________________________________
The questions above are being asked to determine basic eligibility. First you must have the basic GPA
requirements. You must be attending a Mississippi College and you must be a senior at one of the 5 schools
above. If you did not answer “YES” to all three questions above, you are not eligible and should not proceed any
further with this application.
Value–The number and amount of the awards is at the discretion of the selection committee that is comprised of
members of the Board of Directors of the Orange Grove / Lyman Chamber of Commerce. The entire Board of
Directors must approve awards. Prior awards have been made as high as $2,000, but usually have ranged
between $1,000 and $2,000. From the list of students that turn in the applications, we will be selecting students
to receive a $50.00 bond at our quarterly breakfast eye openers.
Basis of Award– In making the selection the committee will consider the following items:
Scholastic Record
Participation in Extracurricular Activities
Participation in Community Activities
Previous or other possible financial awards
Acceptance as a full time student into an accredited institution within the State of Mississippi.
DEADLINE FOR SUBMISSION IS APRIL 15, 2009.
Application Process– Obtain an application from your school’s guidance counseling office or from the office of the
Orange Grove / Lyman Chamber of Commerce.
Complete the application and forward to:
Orange Grove / Lyman Chamber of Commerce
Attention: Shelley Johnson Scholarship Committee
P.O. Box 3046
Gulfport, MS 39505-3046
or
Hand Deliver to the
Orange Grove / Lyman Chamber of Commerce
13470 Highway 49 North
Gulfport, Mississippi 39503
Attach or have the school forward a copy of your transcript to the address listed above.
Interviews will be conducted for all finalists.
SELECTION AND NOTIFICATION.–Copies of all materials you submit will be made and distributed to the members
of the Shelley Johnson Scholarship Committee for review. Finalists will be contacted and scheduled for an
interview. Applicants will be notified as early as possible after the process has been concluded, but in no case no
later than May 8, 2009 so that your school can acknowledge this award before graduation. Awards will be given
at the Orange Grove / Lyman Chamber Breakfast Eye Opener on June 25, 2009. Actual payment will be made to
the school once proof of enrollment and attendance are established and presented to the Orange Grove/Lyman
Chamber of Commerce.
Attached is the application, which must be completed in its entirety. The application must be typed or scanned
into a computer for completion; handwritten applications will not be accepted.
Shelley Johnson Scholarship Application
General information
Name of Student____________________________________________
Date of Birth_______________________________________________
Country of Citizenship_______________________________________
Birthplace_________________________________________________
Home Address:_____________________________________________
City and State____________________________Zip Code___________
Phone Number______________________________________________
Name of School currently Attending_____________________________
List the Schools to which you are applying:
1 )________________________________________________________
2 )________________________________________________________
3 )________________________________________________________
4 )________________________________________________________
Major or Probable Major______________________________________
Professional Plans or Goals____________________________________
Current School Information
Name of High School_________________________________________
Principal___________________________________________________
Have you ever been suspended or dismissed from any school? YES_____NO______
If yes, please explain below:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Cumulative GPA In High School_______Rank in Class________Total # in Class______
Collage Entrance Exam Scores:
SAT-VERBAL_________SAT-MATH_______SAT II Subjects and Scores___________
ACT Test___________
List names of any collages you have already attended, dates attended, and degree or certificates conferred, if
any:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please attach your most recent transcript from the above or have one sent directly by the school to:
Orange Grove / Lyman Chamber of Commerce
Attention: Shelley Johnson Scholarship Committee
P. O. Box 3046
Gulfport, Mississippi 39505-3046
Note: Transcripts should cover all of your work outside your regular high school from all schools.
Activities:–Instructions: In order of their importance to you, please list your major extracurricular pursuits.
(personal, school, religious, athletic community, etc.) Please use the space below, but feel free to attach
additional sheets if necessary.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Awards and Honors–Instructions: In order of their importance to you, please list the major awards and honors (
academic, work related and/or extracurricular). Feel free to attach additional sheets.
Please list the name or type of award and the year in which it was received.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Employment Experience– Instructions: Please list starting with the most recent or current employment.
List the name of Employer, Job Title or Position held, Type of work, and Dates of Employment.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
References
DEADLINE FOR RECEIPT OF RECOMMENDATIONS IS APRIL 15, 2009.
Please obtain three written recommendations. At least one must be from a teacher, instructor,
or Professor who has taught you in an academic subject within the last two years.
Remember that these are busy people who have many forms to complete and letters to write so it is courteous
and best to request the written recommendation as soon as possible. Please give a stamped envelope to each
person you ask to write on your behalf.
Written recommendations are to be mailed to
Orange Grove / Lyman Chamber of Commerce
Attention: Shelley Johnson Scholarship Committee
P. O. Box 3046
Gulfport, Mississippi 39505-3046
Please list the names of people being asked to write recommendations on your behalf, their occupation or
relationship to you and their telephone number.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Financial Data
List estimated educational expenses for a full academic year.
$______________Tuition
$______________Room & Board
$______________Books & supplies
$______________Miscellaneous School Fees
$______________Transportation Expenses
$______________Other Expenses
$______________Total Estimated Expenses
List your sources of financial support that will enable you to pay the above expenses:
$______________Parents
$______________Insurance
$______________Student loans
$______________Work
$______________Grants or other Financial Aid
$______________Scholarships
$______________Your Personal Savings
$______________Other Financial Sources
$______________Total Estimated Resources
* Note: An award from the Orange Grove / Lyman Chamber of Commerce will not be awarded if it is used to
reduce the amount of a scholarship a student would otherwise receive from another source.
Three Essays
There are limitations to what grades, scores, and recommendations can tell us about any candidate. Please use
the following three short essays to help us learn more about you. We hope that in writing the essays you will
reflect your attitudes, values, and your own perception of yourself. Use a separate sheet or sheets of paper for
each essay topic. Limit each essay to no more than 300 words.
1) Identify a major event that influenced your life and describe in what ways it changed your behavior and/or
thought process and why it had so much influence on you.
2) Describe what you expect to gain from your collage experience. Also, from your own personal perspective,
comment on whether or not there is a significant difference between a big school and a small school: an urban
university and a small town collage, or attending a community college for a year or two before seeking a four year
degree. Also, please comment on what you see as the advantages of being near your home while in college.
3) Please tell us about your interest in the areas of study which you wish to pursue. You may include a
description of relevant course work, personal experience, or extracurricular activities.
CERTIFICATION
I DECLARE THAT ANY AND ALL ESSAYS ARE MY OWN WORK, AND THAT ALL INFORMATION IN MY
APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND CORRECT.
__________________________________
Applicant’s Signature
__________________________________
Date of Signature and Application
The Orange Grove/Lyman Chamber of Commerce has
always supported our local schools. The chamber has
always given out scholarships to graduating high school
students going to college, based on financial need and
academic scores. Shelley Johnson was a local, self employed
hard working single Mom that had a love for her community
and the Orange Grove/Lyman Chamber of Commerce. She
chaired our education committee that works closely with our
local schools. Shelley was a wonderful person and was loved
by everyone that met her. She died in 2005, leaving her
5 year old daughter behind. Due to the love that she had for
our community, our chamber and our children's education,
we decided to name the scholarship fund in memory of her.
Shelley Johnson
Below is the criteria and application for applying for the scholarship. Should you have any questions, please
contact the chamber office at 832-3028.
Basic Eligibility- Do not continue with this application if you do not meet the minimum requirements.
All applicants must be a senior in high school with a minimum GPA of 3.0 at the time the application is made.
All applicants must be able to answer “YES” to all three questions below to be eligible for the scholarship.
Do you have at least a GPA of 3.0? YES______NO_______
Are you planning to attend a Mississippi college? YES_____NO_____
Do you attend one of the following High Schools? Bible Baptist Academy, St. John High School,
Harrison Central High School, Temple Christian Academy, Norwood Christian Academy?
YES_____NO_____Name of High School__________________________________________
The questions above are being asked to determine basic eligibility. First you must have the basic GPA
requirements. You must be attending a Mississippi College and you must be a senior at one of the 5 schools
above. If you did not answer “YES” to all three questions above, you are not eligible and should not proceed any
further with this application.
Value–The number and amount of the awards is at the discretion of the selection committee that is comprised of
members of the Board of Directors of the Orange Grove / Lyman Chamber of Commerce. The entire Board of
Directors must approve awards. Prior awards have been made as high as $2,000, but usually have ranged
between $1,000 and $2,000. From the list of students that turn in the applications, we will be selecting students
to receive a $50.00 bond at our quarterly breakfast eye openers.
Basis of Award– In making the selection the committee will consider the following items:
Scholastic Record
Participation in Extracurricular Activities
Participation in Community Activities
Previous or other possible financial awards
Acceptance as a full time student into an accredited institution within the State of Mississippi.
DEADLINE FOR SUBMISSION IS APRIL 15, 2009.
Application Process– Obtain an application from your school’s guidance counseling office or from the office of the
Orange Grove / Lyman Chamber of Commerce.
Complete the application and forward to:
Orange Grove / Lyman Chamber of Commerce
Attention: Shelley Johnson Scholarship Committee
P.O. Box 3046
Gulfport, MS 39505-3046
or
Hand Deliver to the
Orange Grove / Lyman Chamber of Commerce
13470 Highway 49 North
Gulfport, Mississippi 39503
Attach or have the school forward a copy of your transcript to the address listed above.
Interviews will be conducted for all finalists.
SELECTION AND NOTIFICATION.–Copies of all materials you submit will be made and distributed to the members
of the Shelley Johnson Scholarship Committee for review. Finalists will be contacted and scheduled for an
interview. Applicants will be notified as early as possible after the process has been concluded, but in no case no
later than May 8, 2009 so that your school can acknowledge this award before graduation. Awards will be given
at the Orange Grove / Lyman Chamber Breakfast Eye Opener on June 25, 2009. Actual payment will be made to
the school once proof of enrollment and attendance are established and presented to the Orange Grove/Lyman
Chamber of Commerce.
Attached is the application, which must be completed in its entirety. The application must be typed or scanned
into a computer for completion; handwritten applications will not be accepted.
Shelley Johnson Scholarship Application
General information
Name of Student____________________________________________
Date of Birth_______________________________________________
Country of Citizenship_______________________________________
Birthplace_________________________________________________
Home Address:_____________________________________________
City and State____________________________Zip Code___________
Phone Number______________________________________________
Name of School currently Attending_____________________________
List the Schools to which you are applying:
1 )________________________________________________________
2 )________________________________________________________
3 )________________________________________________________
4 )________________________________________________________
Major or Probable Major______________________________________
Professional Plans or Goals____________________________________
Current School Information
Name of High School_________________________________________
Principal___________________________________________________
Have you ever been suspended or dismissed from any school? YES_____NO______
If yes, please explain below:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Cumulative GPA In High School_______Rank in Class________Total # in Class______
Collage Entrance Exam Scores:
SAT-VERBAL_________SAT-MATH_______SAT II Subjects and Scores___________
ACT Test___________
List names of any collages you have already attended, dates attended, and degree or certificates conferred, if
any:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please attach your most recent transcript from the above or have one sent directly by the school to:
Orange Grove / Lyman Chamber of Commerce
Attention: Shelley Johnson Scholarship Committee
P. O. Box 3046
Gulfport, Mississippi 39505-3046
Note: Transcripts should cover all of your work outside your regular high school from all schools.
Activities:–Instructions: In order of their importance to you, please list your major extracurricular pursuits.
(personal, school, religious, athletic community, etc.) Please use the space below, but feel free to attach
additional sheets if necessary.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Awards and Honors–Instructions: In order of their importance to you, please list the major awards and honors (
academic, work related and/or extracurricular). Feel free to attach additional sheets.
Please list the name or type of award and the year in which it was received.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Employment Experience– Instructions: Please list starting with the most recent or current employment.
List the name of Employer, Job Title or Position held, Type of work, and Dates of Employment.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
References
DEADLINE FOR RECEIPT OF RECOMMENDATIONS IS APRIL 15, 2009.
Please obtain three written recommendations. At least one must be from a teacher, instructor,
or Professor who has taught you in an academic subject within the last two years.
Remember that these are busy people who have many forms to complete and letters to write so it is courteous
and best to request the written recommendation as soon as possible. Please give a stamped envelope to each
person you ask to write on your behalf.
Written recommendations are to be mailed to
Orange Grove / Lyman Chamber of Commerce
Attention: Shelley Johnson Scholarship Committee
P. O. Box 3046
Gulfport, Mississippi 39505-3046
Please list the names of people being asked to write recommendations on your behalf, their occupation or
relationship to you and their telephone number.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Financial Data
List estimated educational expenses for a full academic year.
$______________Tuition
$______________Room & Board
$______________Books & supplies
$______________Miscellaneous School Fees
$______________Transportation Expenses
$______________Other Expenses
$______________Total Estimated Expenses
List your sources of financial support that will enable you to pay the above expenses:
$______________Parents
$______________Insurance
$______________Student loans
$______________Work
$______________Grants or other Financial Aid
$______________Scholarships
$______________Your Personal Savings
$______________Other Financial Sources
$______________Total Estimated Resources
* Note: An award from the Orange Grove / Lyman Chamber of Commerce will not be awarded if it is used to
reduce the amount of a scholarship a student would otherwise receive from another source.
Three Essays
There are limitations to what grades, scores, and recommendations can tell us about any candidate. Please use
the following three short essays to help us learn more about you. We hope that in writing the essays you will
reflect your attitudes, values, and your own perception of yourself. Use a separate sheet or sheets of paper for
each essay topic. Limit each essay to no more than 300 words.
1) Identify a major event that influenced your life and describe in what ways it changed your behavior and/or
thought process and why it had so much influence on you.
2) Describe what you expect to gain from your collage experience. Also, from your own personal perspective,
comment on whether or not there is a significant difference between a big school and a small school: an urban
university and a small town collage, or attending a community college for a year or two before seeking a four year
degree. Also, please comment on what you see as the advantages of being near your home while in college.
3) Please tell us about your interest in the areas of study which you wish to pursue. You may include a
description of relevant course work, personal experience, or extracurricular activities.
CERTIFICATION
I DECLARE THAT ANY AND ALL ESSAYS ARE MY OWN WORK, AND THAT ALL INFORMATION IN MY
APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND CORRECT.
__________________________________
Applicant’s Signature
__________________________________
Date of Signature and Application
