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: _____________