Skip to main content
Please enable JavaScript in your browser to complete this form.
Scholarship Applying For
Applicants can only win one scholarship: either the Janice Flemmons Scholarship OR the Dina Jeffries Leadership Scholarship. However, applicants may be considered for both scholarships with this application.

Applicant Information

Name
Address

For Statistical Purposes Only

Ethnicity
Are you or an immediate family member a McDonald's Employee?
Have you or a family member ever stayed at a Ronald McDonald House?
"City, State" format
Have you or a family member ever volunteered at a Ronald McDonald House or Family Room?
Are you a first-generation college student?
A first-generation college student is defined as a student whose parent(s)/legal guardian(s) have not completed a bachelor's degree. This means that you are the first person in your family to attend a four-year college/university to attain a bachelor's degree.
How did you hear about the RMHC of the Southwest Scholarship Program?

Family Information

"City, State" format
Parent or Guardian's Name

Academics

High School Address
High School Guidance Counselor's Name

Academic Scores

My GPA is
Does your school rank students?
Example: 20 / 193
If you have not, enter "N/A".
Does your school offer Honors, AP, or IB programs?
Include Institution State

Community Involvement / Volunteer Service

Click or drag a file to this area to upload.

Extracurricular Activities

Click or drag a file to this area to upload.

Work Experience (if applicable)

Click or drag a file to this area to upload.

Verification of Activities

Click or drag a file to this area to upload.

Financial Information

Do you live with at least one of your parents?
Was/were your parent(s)/legal guardian(s) employed last year?
Marital status of parent(s) or guardian(s)?
Does/do your parent(s)/legal guardian(s) receive any federal or state aid?
List as: Name of Scholarship/Award, Status, Possible Amount

Writing Prompts (200-400 words)

Essay Prompts (400-750 words)

Can include attributes of strong leaders, areas where you have exemplified leadership qualities, the impact of leadership, lessons learned from admired leaders, etc.

Recommendation Information

Click or drag a file to this area to upload.

DONORS

Make a lasting impact and bring joy to families in need by donating today to The Ronald McDonald House.

Donate Online Now!

VOLUNTEERS

Discover the transformative power of volunteering at the Ronald McDonald House, where your time and compassion can make a world of difference in the lives of families in need.

Register to Volunteer!

FAMILIES

Welcome to the Ronald McDonald House, a place where families find solace, support, and a home away from home during challenging times.

Learn How We Serve

Lubbock Offices:

Ronald McDonald House
& Administrative Offices
3413 10th Street
Lubbock, TX 79415
office: 806.744.8877
Ronald McDonald Family Room:
Covenant Children’s Hospital
4000 24th Street
Lubbock, TX 79410
First Floor
office: 806.725.5360
Ronald McDonald Family Room:
University Medical Center
602 Indiana Avenue
Lubbock, TX 79409
2nd Floor
office: 806.775.8826

Permian Basin Office:

Ronald McDonald Family Room:
Medical Center Hospital
500 West 4th Street
Odessa, Texas 79761
2nd Floor
office: 432-221-4010
Ronald McDonald Family Room:
Midland Memorial Hospital
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
4th Floor
Skip to content