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Dutch Bros. Coffee Optimist’s Scholarship 2015
Award: $500
Deadline: April 15, 2015
Please submit applications to:
Redmond Proficiency Academy, Career Center
* We highly recommend you photocopy your completed
application for your records in the case of loss or damage.
Overview:
The Optimist’s Scholarship is awarded to a COCC-bound Senior who demonstrates a
lifestyle of optimism, a great attitude, and kindness to others. An individual who possesses
the qualities as described in the Dutch Creed (pg. 2) as well as meets the qualifications and
requirements listed below will be selected for this one-time scholarship.
Qualifications:
• 2015 graduating Senior
• Attending COCC in the fall of 2015
• 2.75+ GPA
• Currently enrolled at Redmond Proficiency Academy (High School) and in good
standing
Requirements:
• Complete the following application.
• Obtain one recommendation via the Scholarship Reference Form (attached). This is
to be sealed and submitted by the person giving the recommendation.
• Complete the essay questions.
• Obtain and submit a current academic transcript (unofficial copy okay).
• Submit by stated deadline.
Scholarship Award:
• A one-time $500 academic scholarship to be used towards 2015/2016 tuition at
Central Oregon Community College. *NOTE: Redmond Seniors: This scholarship can be
deferred until your sophomore year if you are obtaining an advanced diploma.
•
•
One winner from each of the Bend/LaPine, Redmond, and Sisters high schools.
Scholarship will be awarded to an individual who lives the “Dutch Creed” as
demonstrated through the essay and letter of recommendation. Financial need,
community service/volunteer work, GPA, and educational goals will also determine
the recipient of the scholarship award.
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The Dutch Creed
To be so strong that nothing can disturb your peace of mind.
To talk health, happiness and prosperity to every person you meet.
To make all your friends feel there is something in them.
To look at the sunny side of everything and make your optimism come true.
To think only the best, to work only for the best and expect only the best.
To be just as enthusiastic about the success of others as you are about your own.
To forget the mistakes of the past and press on to the greater achievements of the future.
To wear a cheerful countenance at all times and give every living creature you meet a
smile.
To give so much time to the improvement of yourself that you have no time to criticize
others.
To be too large for worry, too noble for anger, too strong for fear, and too happy to permit
the presence of trouble.
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Application
Name:
____________________________________________________________
Last
Address:
First
Middle
__________________________________________________________
Number
Street
________________________________________________________
City
Email :
State
Zip
___________________________________________________________
Date of Birth:
_______________________ Current GPA: _______________________
Month/Day/Year
Please list any job (including summer employment) you have held during the past two
years:
Specific Nature
of Work
Employer
Approximate Dates
of Employment
Approximate # of
hours per week
Please list any volunteer work/community service you have performed during the past
two years (list unpaid work only please):
Specific Nature
of Work
Organization/Agency
Approximate Dates
of Volunteering
Approximate # of
hours per week:
4
Parents’ Income Information:
An important consideration of the Scholarship Committee is to provide financial
assistance to students of merit with identified financial need. The following information will
help our committee in its decision. Some scholarships are based upon merit without regard
to parent income.
How many people live in your household? _______
Is your parents’ total income between:
_____ $ 5,000 - $20,000
_____ $20,000 - $40,000
Father’s Occupation: _____________________
_____ $40,000 - $60,000
_____ $60,000 - $80,000
Mother’s Occupation: ____________________
_____ $80,000 - $100,000
_____ Over $100,000
How many family members will attend a college, university, or trade school in the coming
school year? _______
Are there any unusual medical or educational expenses, or special financial circumstances?
List here:
__________________________________________________________________
__________________________________________________________________
As you make plans for entering college, how much are you and your parents able to pay for
the upcoming school year? For your contribution, take into account your savings as well as
anticipated earnings for the remainder of this school year and for this summer. For the
family contribution, take into account family savings and other available resources that are
designated to help pay for your college education next year.
Student expected contribution: $____________
Family expected contribution: $ ____________
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Essay Questions
A large factor of determination for this scholarship is the student’s display of an optimistic,
enthusiastic, and inspiring attitude. The ability to demonstrate how his or her lifestyle
matches the characteristics described in the Dutch Creed through the essay along with the
letter of recommendation will play an important role in our decision.
Please answer the following questions. Essays should be word-processed, doublespaced, and attached to the application.
1. Read the Dutch Creed (pg. 2) and describes how you personally live a lifestyle that
mirrors the Dutch Creed. Cite specific examples of how the traits in the creed are visible
and reflected in your life. No more than 500 words.
2. Tell us about your future education and career goals. What are your areas of
interest/study? What kinds of careers are you interested in, and why? What goals have you
set for yourself? No more than 200 words.
3. Please list any extracurricular activities you have been involved in the past two years. Be
sure to include any positions in leadership or as a team captain. If you wish to include any
more info. please do so here.
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Scholarship Reference Form
Reference to be completed by a teacher, counselor, supervisor, employer or other
authority/mentor figure. References from family or friends will not be accepted.
______________________________is applying for a scholarship. Your careful estimate of
the applicant’s qualifications will be appreciated. Please use the reverse side of this form
for any specific additional comments you care to make. This information will be considered
professionally confidential and should be sealed and returned directly to the RPA Career
Center.
1.
Academic Rating
Poor
Below
Average
Average
Good
Excellent
Good
Excellent
Truly Outstanding
Motivation
Creative qualities
Self-discipline
Growth Potential
2.
Character and Personality Ratings
Poor
Below
Average
Average
Truly Outstanding
Leadership
Self confidence
Warmth of personality
Honesty/Integrity
Concern for others
Reliability
Emotional stability
Initiative/Ambition
Reaction to setback
Reaction to criticism
Independence
3.
Additional comments and recommendations (Additional input is greatly appreciated
and will assist us in making our decision.):
Signature ___________________________ Title __________________________________ Date ___________
Printed name: _________________________________________
Relationship to applicant: ______________________________________________
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Submission Checklist
Applicants: Please be sure you have completed all components to the scholarship
application before submitting. You should follow up and confirm the delivery of your
Reference Form, as it is your responsibility to ensure that it is received by the RPA
Career Center. Use the checklist below to make sure you have fully completed the
application. Then go ahead and turn it in!

Application (pgs. 3 & 4)

Answers to all three essay questions (pg. 5)

Scholarship Reference Form (pg. 6)