AWARDED BY BPC CORPORATION Eligibility To be eligible for the one-time $2,000 scholarship, the recipient must be: A graduating senior planning for a diploma, certificate, or degree program at an accredited college, university, community college, or vocational school; MUST be graduating from a school in Putnam, White, Overton, Cumberland, or Fentress Counties. CANNOT be the son, daughter, stepson, stepdaughter, grandson, granddaughter, niece, or nephew of an employee/board member/retiree at Bank of Putnam County, Cumberland County Bank, Bank of White County (an office of Bank of Putnam County), Bank of Overton County (an office of Bank of Putnam County), or Bank of Fentress County (an office of Bank of Putnam County); and MUST show proof of graduation (physical diploma) and enrollment in the institution of higher education before the scholarship will be written to the educational institution. Applications: Print at www.bankofputnamcounty.com or visit your nearest branch! Will be accepted until April 15th Can be brought to any bank location or mailed to: Bank of Putnam County 140 S. Jefferson Ave. Cookeville, TN 38501 Attn. Elizabeth Fournet Criteria The Rex Hitchcock Memorial Scholarship will be awarded with no purchase necessary to the student who is chosen through a scholarship committee. The purpose is to reward students for graduating and going on to higher education. Selection Bank of Putnam County, Bank of Overton County (an office of Bank of Putnam County), Bank of White County (an office of Bank of Putnam County), and Bank of Fentress County (an office of Bank of Putnam County) will each award their own $2,000 scholarship that will be made payable to the institution of higher education of the recipient’s choice. The selection committee will send award letters to those chosen, and AFTER proof of graduation and enrollment has been provided, the check will be mailed to the institution of higher education. To apply: (1) Go to www.bankofputnamcounty.com, and then click on “Scholarship Application.” Print out the application, mail it to the address above, or bring it to your nearest branch; (2) OR visit your nearest branch and pick up an application, mail it to the address provided above, or turn it in at any branch. AWARDED BY BPC CORPORATION Bank of Putnam County, Cumberland County Bank, Bank of White County (an office of Bank of Putnam County), Bank of Overton County (an office of Bank of Putnam County), and Bank of Fentress County (an office of Bank of Putnam County) Eligibility: You must be planning to attend a higher form of education (including but not limited to a four-year university, vocational school, etc.) Only one application is permitted per student. The application must be received by April 15th If you are selected, you must show proof of graduation (physical diploma) and enrollment in the institution of higher education of your choice before the scholarship will be awarded. Name _________________________________________________________________________________ Address ___________________________________________City__________________State__________ Zip_________________ Phone Number_____________________________ DOB___________________ County of High School Attended __________________________________________________________ List below up to two extra-curricular activities and your role in each: Ex: Basketball; Student Government; Vice-President 1. ________________________________________________________ 2. ________________________________________________________ Explain why you are choosing to pursue a higher education (continue on next page): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Describe how you plan to be financially responsible after high school: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Name a time when your effort made a difference in the outcome of a situation: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Student Signature ______________________________________ Please return your application to the nearest bank branch, or mail to: Date_______________ Bank of Putnam County Attn: Elizabeth Fournet 140 S. Jefferson Ave. Cookeville, TN 38501 Student does NOT have to be immediately going on to higher education, but the check WILL be written to the institution of higher education when the student chooses to attend and enrollment is verified. ________________________________________________________________________ (For Internal Use Only) Branch: ______________________ Date Received: ________________________ CSR Initials: _______ AWARDED BY BPC CORPORATION Bank of Putnam County, Cumberland County Bank, Bank of White County (an office of Bank of Putnam County), Bank of Overton County (an office of Bank of Putnam County), and Bank of Fentress County (an office of Bank of Putnam County) Student Name: ________________________________________________________________ The above student will be applying to secure a scholarship from BPC Corporation. We are seeking your input about this student and are mostly interested in whatever you think is important about the applicant’s academic and/or personal qualifications for college or higher education. What is your relationship with the applicant? How long have you known the applicant? ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ What are the first words that come to your mind to describe this applicant? ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Based on your interactions with and knowledge of the applicant, how has the applicant demonstrated motivation, initiative, dedication, integrity, leadership potential, creativity, and reliability? ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Signature: ___________________________________________ Date: _____________
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