Evergreen Chapter PSE ”The Heartbeat of the Union” PSE PULSE Merit Scholarship February 2015 The Board of Directors of Evergreen Chapter of PSE is proud to announce their Twenty-ninth Annual Scholarship Awards, open to eligible dependents of members of the Evergreen Chapter of PSE. There will be three $1,000 scholarships available to graduating high school seniors and two $1,000 scholarships for continuing education. DEADLINE: Friday, May 15, 2015 Please turn in all completed applications directly to Neda Ragan, Chairman at Heritage High School, or one of your scholarship committee members: Para-Patty Crawford and Trans.-Peggy Meier. No application will be accepted after the deadline date. The selections will be made public at the June General Meeting of the Evergreen Chapter of PSE and/or in the PSE Pulse. If you have questions please contact Neda Ragan at 896-0039., Evergreen Chapter Public School Employees of Washington PSE – Pulse Merit Scholarship Application DIRECTIONS: These scholarships are to be awarded to deserving dependents of members of the Evergreen Chapter of PSE. There will be three $1,000 scholarships available to graduating high school seniors and two $1,000 scholarships for continuing education. These scholarships are based on the criteria of : financial need, academic achievement, school and community involvement and personal references. THIS APPLICATION MUST BE FILLED OUT COMPLETELY, WITH NO BLANK AREAS, AND ALL REQUESTS ADHERED TO! ANY ITEMS LEFT BLANK WILL BE CAUSE FOR DISQUALIFICATION. ACADEMIC REQUIREMENTS: An official copy of the student’s transcript from their high school / college, university or technical / vocational school registrar must accompany this application. Please include acceptance letter or approval from your college. FINANCIAL REQUIREMENTS: The first page of the member’s recent IRS tax return (2014), listing the student as their dependent, must accompany this application, or other proof of dependency. OTHER REQUIREMENTS: 1. A TYPEWRITTEN “Letter of Intent” of at least 100 words explaining the applicant’s interest in their chosen profession or vocation must accompany this application. 2. Three recent letters of reference recommending the student. (one reference from three separate areas) i.e. school, scouting, church, employment, neighbor, community or friend who has known you a for long time. NOT RELATIVES OR PEERS. These letters may be handwritten or typed. Enclose the original in the packet. You may make copies for worksheets and/or your records. INFORMATION: The decision of the committee will be final and taken as a recommendation to the Board for approval. The award will be paid only to an accredited college, university or technical / vocational school of the student’s choice listed. If the student has not registered by the beginning of the second grading period, the money shall be refunded to the PSE. Again, the money must also be refundable from the institution. Evergreen Chapter Public School Employees of Washington PSE – Pulse Merit Scholarship Application Personal Information: Legal Name: ________________________________________________ Date: ____________ Address: ___________________________________________________ Birth date: _________ Street ______________________________________________________________________________ City State Home Telephone: _____________________________ Zip Alternate Phone: _______________ College, university or technical / vocational school choice for the year 2013-2014 and address of school: Address_____________________________________________________________________ High School/college, university or technical / vocational school presently attending:________________________________________________ Address: ________________________________________________________________________ Attach official, current transcript Current cumulative GPA: ____________________________ _______________________________________ Honors and Awards: (or use separate sheets of paper as needed) Offices and Positions of Leadership: School and Community Activities: Please explain any extenuating circumstances that may help the scholarship committee in their selection. Be specific. Signature of Evergreen Chapter, PSE Member and the Job Title with Evergreen Public Schools: _________________________________________________ To qualify for this scholarship, a parent must be a member of Evergreen Chapter of PSE, in good standing. All answers and statements contained herein and accompanying this application are true. Applicant’s signature: ________________________________ Date:__________________ Which scholarship are you applying for? High School Continuing Education Evergreen Chapter Public School Employees of Washington PSE – Pulse Merit Scholarship Application LETTER OF INTENT _________________________________________________ Signature of applicant Evergreen Chapter Public School Employees of Washington PSE – Pulse Merit Scholarship Application CHARACTER REFERENCE: FOR:________________________________________ Signature __________________________ Title / Occupation: ____________________ Address: __________________________ Telephone: Home: _____________ Work: __________________ __________________________ Evergreen Chapter Public School Employees of Washington PSE – Pulse Merit Scholarship Application CHARACTER REFERENCE: FOR:________________________________________ Signature __________________________ Title / Occupation: ____________________ Address: __________________________ Telephone: Home: ______________ _________________________________ City State Work:_____________ Evergreen Chapter Public School Employees of Washington PSE – Pulse Merit Scholarship Application CHARACTER REFERENCE: FOR:________________________________________ Signature __________________________ Title / Occupation: ___________________ Address: __________________________ Telephone: Home: _____________ __________________________________ Work: _____________
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