Uniform Application for Community Scholarships A scholarship booklet comprised of local and community scholarships that use one, uniform, application to save time and for ease of completion. Once the application is completed, it can be used for any any of the scholarships contained in this booklet 1 2014-2015 Uniform Application for Community Scholarships & Eligibility Requirements For Students Graduating from Fishers High School & Hamilton Southeastern High School Introduction This application was developed to help high school seniors be most efficient and effective with the use of their time. In addition, and more importantly, utilizing this application will allow seniors to spend meaningful time writing essays for scholarships and providing other more specific information, in order to spotlight themselves as applicable for the individual scholarships. Seniors, and for any parents reviewing this application, it is an outstanding initiative on the part of the student to take the necessary steps to apply for any of these scholarships. Before beginning the Uniform Application for Community Scholarships Application process, please read through the specific Scholarship Eligibility Requirements found in Section C, beginning on Page 4. Additional copies of this document can be found at: 1. Fishers High School) website: http://www.hse.k12.in.us/FHS/academics/finaid.aspxQuestions-Jill DeMoss at 915-4293 2. Hamilton Southeastern High School website: http://www.hse.k12.in.us/HHS/academics/finaid.aspx Questions-Cheryl Anania/Lisa Woolsey at 594-4193 3. FHS Naviance website: https://connection.naviance.com/familyconnections/auth/login/?hsid=fishershs 4. HSEHS Naviance website: https://connection.naviance.com/familyconnections/auth/login/?hsid=hsehs 5. Hamilton Southeastern Schools Foundation (HSSF) website: [email protected] QuestionsFreedom Kolb, HSSF Executive Director, at 594-4100. Table of Contents Sections A. Application Submittal Instructions, page 3 B. List of Available Scholarships, Due Dates and Additional Required Information, pages 4 & 5 C. Scholarship Eligibility Requirements, pages 6-39 Application Items 1. Uniform Application for Community Scholarships Form (complete once and copy for use with each Scholarship Application submittal), pages 40 & 41 2. Evaluation Form (to be included with each Letter of Recommendation), page 42 3. Official Transcript, Essay Questions, Financial information and/or special documents as listed in the Eligibility Requirements for each individual scholarship 2 Section A – Application submittal Instructions 1. Each Scholarship Application should be submitted in a 9 x 12 envelope. 2. A copy of the Scholarship Application along with the Scholarship Eligibility Requirements page is required for each scholarship submitted. 3. If a scholarship requires additional information, include each of these items in the 9 x12 envelope as well. 4. Required items left out of your envelope may disqualify you for the scholarship. 5. Please thoroughly read the essay questions before composing your essay. 6. Be sure all writing is typed, or legible if handwritten. 7. Double check your contents! It is the student’s responsibility to mail/email/deliver each scholarship by the due date. The due dates vary and are indicated both on the Available Scholarships List on the next page and in the Eligibility Requirements for each scholarship. 8. Please remember, TRANSCRIPTS ARE REQUIRED for most scholarships. Please give the Guidance Department two weeks to prepare an official transcript for your application(s). 3 Jessica Adkins Memorial Scholarship/HSE students Hamilton County Theater Guild 4-17-15 X Chasity Bradford Memorial Scholarship Bradford Family 3-20-15 X Riverview Memorial Foundation 3-20-15 X Brooks School Elementary School 4-10-15 X Colglazier Family 4-17-15 X Fishers Citizens Police Academy 3-27-15 X Crosser Family 3-20-15 X Lisa Lederach, Principal 4-17-15 X Durbin Elementary Scholarship in Memory of Nettie Ann Schembra Durbin Elementary 4-17-15 X Fishers Dental Alliance Scholarship Fishers Dental Alliance 3-20-15 X Fishers Junior High School 4-17-15 X Fishers High School Alumni 4-17-15 X Fishers High School National Honor Society 3-20-15 X BSE/Luke Butler Senior Scholarship Carrie C. Colglazier Memorial Scholarship Citizens Police Academy Alumni Association Scholarship Richard H. Crosser Cumberland Road Elementary Scholarship for FHS students Fishers Junior High School National Junior Honor Society Alumni Scholarship Fishers High School Alumni Association Scholarship Fishers High School National Honor Society Scholarship Scholarship Eligibility Requirements Page Photo/Video/Release Financial Information Statements/Letters Adkins Family Belfry Memorial Scholarship Dr. & Mrs. Malcolm Bray Medical Scholarship Essays/Explanations X Letters of Recommendation Application 5-1-15 Presenting Organization/Donor Transcript Due Date Section B – List of Available Scholarships, Due Dates and Additional Required Information X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 4 X X X X X X X X X X X X X X X X X Scholarship Eligibility Requirements Page Letters of Recommendation Photo/Video/Release Transcript Financial Information Application Statements/Letters Due Date Essays/Explanations Presenting Organization Fishers Rotary Club Scholarship Fishers Rotary Club 4-10-15 X X X Forum Credit Union Scholarship Forum Credit Union Foundation 2-1-15 X Hamilton County Extension Homemakers 3-2-15 X X X HSE Education Association for People who Intend to Become Teachers HSE Education Association 4-10-15 by Noon X X X X Leslie Anne Hulse Memorial Scholarship Leslie Anne Hulse Fund 3-20-15 X X X Walter Kelly 3-20-15 X X X 3-20-15 X X X Liddell Family 3-20-15 X X X X Morgan Family 3-20-15 X X X HSE Football Program 4-10-15 X X X Peterson Family 3-20-15 X Hamilton County Extension Homemakers Scholarship Walter F. Kelly Scholarship Charles Leonard Scholarship Joseph Liddell Morgan Family Scholarship Coach Don Nagy Memorial Scholarship Peterson Family Scholarship Kent Riley Memorial Scholarship Royals Varsity Club Saxony/Republic Scholarship for Achievement in the Arts Simply Dental Scholarship Claire Tatom Memorial Scholarship The Twists and Turns Scholarship Fishers Station Kiwanis Royals Varsity Club 3-27-15 X 6-24-15 X Saxony Republic 3-20-15 X Simply Dental 3-20-15 X Geist Elementary PTO 3-20-15 X Hunter Law Office, P.C. 4-17-15 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 5 X X X Section C – Scholarship Eligibility Requirements Jessica Adkins Memorial Scholarship HSE High School Seniors Only Due 5-1-15 Jessica Adkins was a 2006 graduate of Hamilton Southeastern High School and a 2011 graduate of Indiana University. She died in a tragic accident on July 24, 2012. Her passion in life was to help others and be accepting of all people, regardless of their social or economic status. Prior to her accident, Jessica had started plans to continue her education in Social Work. To keep her legacy alive, Jessica’s family has established a scholarship to aid an HSEHS senior with characteristics and goals similar to Jessica’s. Seniors wishing to apply should have the following: Characteristics: compassion, empathy, supportiveness, strong leadership and a genuine interest in working with a variety of people from all backgrounds. Skills: organization and attention to detail, good communication, clear and effective writing skills, ability to work and relate to others in a group/professional setting. The scholarship will be for $500-$1000 each year. This scholarship can be reapplied for in subsequent years as long as the student remains committed to their area of focus. Required: Two Letters of Recommendation ( include the evaluation form with each letter) • One from a teacher or administrator who knows you well • One from a person in the community who knows you well Criteria for Scholarship: • Examples of Community Service/Volunteer Activities • School Activities • In good standing with a GPA of at least 2.5/4.0 Include typed responses to the following: This scholarship eligibility form Photo Financial Information X Statements X Explanations Essays X Letters of Recommendation Application 5-1-15 Transcript Due Date Activities: Describe activities that you have been involved in, both in school and in the community. Include all clubs, organizations, and teams of which you have been a member. Highlight any of the characteristics and skills noted above involved in these activities. In addition, please describe any leadership roles you have undertaken. Essay: Discuss any experience you have had in helping another person or group of people overcome a difficult situation through your guidance, assistance in helping to obtain necessary resources or as acting as an advocate. Please return the completed application in a 9” x 12” envelope to the Guidance Department by the due date. Include in the envelope: X 6 Section C – Scholarship Eligibility Requirements Belfry Memorial Scholarship Due 4-17-15 This scholarship is for a Hamilton County high school senior who is planning to attend college in the fall and major in theater, drama, and/or performing arts. In the past, this award has been from $1,000 to $1,250. Two recommendation letters are required; include the evaluation form with each one: • One from your drama teacher • One from a community member, clergymen, civic leader, or employer, etc. Write an essay about your dramatic experience and include the reasons why you are requesting this scholarship. Questions: 317/773-4699 7 Photo This Scholarship Eligibility Requirements Pg. Financial Information X Statements X Explanations Essays 4-17-15 X X Letters of Recommendation Transcript Application Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Department by the due date. Include in the envelope: X X Section C – Scholarship Eligibility Requirements Chasity Bradford Memorial Scholarship Due 3- 20-15 by 4:00 pm A $750 scholarship will be awarded to a senior at Hamilton Southeastern High School Eligibility Requirements: 1. Must be a member of the girl’s track team 2. Must have a C+ grade average or higher 3. Must demonstrate the qualities and characteristics of athletic achievement, kindness, friendliness, and community service 4. Must have a letter of recommendation from a teacher, coach, or other advisor 5. Make a statement of your plans as they relate to your educational and career objectives and future goals 3-20-15 X X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Applications may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road, Fishers. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 8 Section C – Scholarship Eligibility Requirements Dr. & Mrs. Malcolm Bray Medical Scholarship Due 3-20-15 A $1000 scholarship will be awarded to one graduating senior from each Hamilton County public high school. Criteria: • Plan to pursue a career in the health care field (associate or bachelor’s degree in a medical field, such as nursing, physical therapy, lab technology, etc.) Dental hygiene does not qualify. • Have demonstrated service to the community • Be in good academic standing (B or above GPA) • Financial need may be a consideration. Essay & statements required: • Essay: In 250 words or less, describe what types of contribution you plan to make in society following completion of your college/vocational training. • Statements: a paragraph about your service to your school and an additional paragraph about your service to your community 3-20-15 X X X X 9 This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Office by the due date. Include in the envelope: X Section C – Scholarship Eligibility Requirements Brooks School Elementary/Luke Butler Senior Scholarship Due 4-10-15 Program Summary: In memory of Luke Butler, Brooks School Elementary will present two scholarships to graduating seniors from either Hamilton Southeastern High School and/or Fishers High School who attended Brooks School Elementary for a minimum of one full school year. Scholarship Award: Minimum of $500.00 per scholarship. Qualifications: Student applicants will be evaluated on the following criteria: • Completed application • Written explanation of post-high school plans • Written explanation of how the scholarship will be used (200 word maximum) • Written essay on a life lesson learned while attending BSE that impacted the applicant’s life (1-2 page maximum-minimum font size of 10 point) • Letter of recommendation from a current counselor, teacher or employer who can attest to student’s character and academic potential. Selection Process: A selection committee which consists of BSE staff members will evaluate student applications and select scholarship recipients. The winners will be honored at the High School Senior Awards Night. The scholarship winners will be notified. 4-10-15 X X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application Deadline: Friday, 4/10/15 Materials must be submitted by hard copy To: Dana Kaminski, Principal Brooks School Elementary 12451 Brooks School Road Fishers, IN 46037 (317) 915-4250 (317) 915-4259 [email protected] X 10 Section C – Scholarship Eligibility Requirements Carrie Colglazier Memorial Scholarship Due 4-17-15 Hamilton Southeastern High School, in cooperation with the Colglazier family, has established a memorial scholarship in honor of Carrie Colglazier who was tragically killed by a drunk driver on June 6th, 2003. She was an HSEHS two sport, All State student- athlete in soccer and track. She was an active member of the FFA program and a member of National Honor Society. She was extremely passionate about her family, friends, teammates, teachers and coaches, and took great pride in being a Royal! The $12,000, four year scholarship is funded by an endowment through the Hamilton Southeastern Schools Foundation and by the Carrie Colglazier Community Service Workday. The workday, which will be held in the spring ( the Saturday before the first Saturday of spring break, March 28, 2015), includes workers from the Girls’ Soccer and Track teams, along with members of FFA and National Honor Society. Workers are asked to work up to an 8 hour day (8:00am-4:00pm) in the HSE community for a minimum $25.00 donation per worker. All proceeds go toward the scholarship. Required: Two Letters of Recommendation; include the Evaluation Form with each one • One from a teacher or an administrator who can verify academic and leadership potential. • One from a person in the community who knows you well. Required: One Photo Criteria for the scholarship: • Must have participated in HSEHS Girls’ Soccer, HSEHS Girls’ Track, HSEHS or FHS FFA, or HSEHS National Honor Society • Must have consistently participated in the Community Service Workday • School Activities • Academic Achievement • Community Service • Leadership Roles Include typed responses to the following prompts: Activities Please list all school organizations, clubs and athletic teams in which you have participated. Include any honors, awards or leadership positions. Expand on your involvement and responsibilities and include the criteria of any awards you have received. Also, include community or church organizations in which you have participated, and the extent of your involvement. Lessons Learned Describe a non-classroom experience (positive or negative) during your four years at HSEHS/FHS that has impacted your personal growth. Describe the situation and the lessons you learned through this experience. 11 Photo This Scholarship Eligibility Requirements Pg. Financial Information X Statements X Explanations Essays 4-17-15 X X Letters of Recommendation Transcript Application Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Department by the due date. Include in the envelope: X X Section C – Scholarship Eligibility Requirements Citizen’s Police Academy Alumni Association Scholarship Due 3-27-15 This scholarship is available to a high school senior with a minimum 2.5 GPA who expresses a strong interest in the criminal justice field. Must be accepted to a university, seeking to attend full-time, and possess school leadership, community commitment and desire to contribute to society. One $1,500 scholarship will be awarded to either a Fishers High School or Hamilton Southeastern High School senior. Submit a typed or handwritten 500 word (or more) essay indicating why you have chosen a law enforcement related career and how you specifically plan to meet that goal. Two letters of recommendation (include the evaluation form with each one) are required: o One from a school teacher, and o One from either a school counselor, coach or community leader The envelopes containing the recommendations must be sealed and the back of the envelope signed by the author of the recommendation. After the Alumni Board reviews all applications and essays, you will be notified of your status and may be contacted to set up an interview time if you are selected. Do not make inquiries regarding your status. You will be informed if you have been selected to continue in the process. Please return the completed application in a 9” x 12” envelope to the following address by the due date: Fishers Police Department Attn: Officer Alvis 4 Municipal Dr. Fishers, IN 46038 This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements X Explanations Essays 3-27-15 X X Letters of Recommendation Transcript Application Due Date Include in the envelope: X Any applications not containing the uniform application and all its parts, the essay, a transcript and the letters of recommendation will be considered incomplete. 12 Section C – Scholarship Eligibility Requirements Richard H. Crosser Memorial Scholarship Due Date 3-20-15 A $500 - $3,000 scholarship will be awarded to a senior(s) at Hamilton Southeastern H.S and/or Fishers H.S. Eligibility Requirements: 1. Must intend to major in a field related to building trades (accounting, engineering, architecture, business, interior design, etc.) 2. Must plan on attending a two or four year Indiana college or university 3. Top 1/3 of your class 4. Must be involved in a variety of activities 5. Make a statement of your plans as they relate to your educational and career objectives and future goals X 3-20-15 X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts irectly to the recipient Scholarships are made payable to the intended school of choice and not ddirectly 13 Section C – Scholarship Eligibility Requirements Cumberland Road Elementary School Senior Scholarship For Fishers High School Seniors Only Due 4-17-15 Cumberland Road Elementary school will present two scholarships to graduating seniors from Fishers High School who attended Cumberland Road Elementary School for a minimum of one full school year. A selection committee which consists of CRES staff members will evaluate student applications and select our scholarship recipient. The winners will be honored at the Fishers High School Senior Awards night. Provide a letter (include the evaluation form) from a current counselor, teacher or employer who can attest to your character and academic potential. Qualifications: Student applicants will be evaluated on the following criteria: Completed application Written explanation of post-high school plans (In a sentence or two) Written explanation of how the scholarship will be used (200 word maximum on a separate piece of paper. Written essay (1-2 page maximum - minimum font size of 10 point) to answer the following question: What life lesson did you learn while a student at Cumberland Road Elementary School that had an impact on you and helped shape your life to this point? Letter of recommendation (include the evaluation form) from a current counselor, teacher or employer who can attest to student’s character and academic potential Indicate dates/years attended Cumberland Road Elementary School Please return the completed application in a 9” x 12” envelope to the following address by the due date: Lisa Lederach, Principal Cumberland Road Elementary School 13535 Cumberland Road Fishers, IN 46038 317-594-4170 317-594-4179 (Fax) 4-17-15 X X X X 14 This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Include in the envelope: X Section C – Scholarship Eligibility Requirements Durbin Elementary Scholarship In Memory of Nettie Ann Schembra Due 4-17-15 PURPOSE OF SCHOLARSHIP: To provide a Durbin student who is a graduate of HSEHS or FHS a grant in order to help further his/her future endeavors, whether it be college, technical, or trade school. REQUIREMENTS: Must have been a Durbin student 2nd - 4th grades - include year and grade(s) attended on your Explanation page. Submit a letter of recommendation from a teacher, counselor, or employer Must be in good standing at your high school as verified by dean/counselor signature Write a brief summary why you should be considered for a Durbin Elementary Scholarship. Include an explanation of how this scholarship will benefit you. Must be a minimum of 250 words and not exceed 500 words. Must return the application and all required documents in a 9” by 12” envelope by the due date to: This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements X Explanations Essays 4-17-15 X X Letters of Recommendation Transcript Application Due Date Durbin Elementary School Nettie Ann Schembra Scholarship 18000 Durbin Road Noblesville, IN 46060 X 15 Section C – Scholarship Eligibility Requirements Fishers Dental Alliance Scholarship Due Date 3-20-15 A $500 - $1,000 scholarship will be awarded to a senior at both Hamilton Southeastern H.S and Fishers H.S. Eligibility Requirements: 1. Must major in a field related to dentistry (dentist, dental hygienist, etc.) 2. Must attend a two or four year college or university 3. Top 1/3 of your class 4. Must be involved in a variety of activities 5. Make a statement of your plans as they relate to your educational and career objectives and future goals 3-20-15 X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 16 Section C – Scholarship Eligibility Requirements Fishers Junior High School National Junior Honor Society Alumni Scholarship Due 4-17-15 In 2003, Fishers Junior High School chartered the district’s first National Junior Honor Society based on the principles of Scholarship, Leadership, Service, Citizenship, and Character. As a chapter, we emphasize building leaders through service. The faculty council has made it a goal for the chapter to reward members that went on to put this area of emphasis into action at the high school level. Through the monies raised with our chapter’s recycling program and through a portion of our chapter dues, we will be able to make this reward a reality. The chapter will award at least two scholarships up to $500. Eligibility: • Must be a senior in high school • Applicant must have been an inducted member in the Fishers Junior High School chapter of the National Junior Honor Society • Applicant must have been an active member of a service organization during his or her high school years. Examples of school service organizations are: National Honor Society, Student Council, Class Officer, Best Buddies, and Key Club. Service involvement is not limited to school organizations. • Applicant must have had a cumulative GPA of 3.0 or a B average Letter(s) of recommendation (include the evaluation form with each one) from the service organization sponsor(s). Maximum of three. Multiple letters are not as important as the commitment and service reflected in a single letter. The letters are meant to show the depth of your service, not the breadth. Write a letter to the scholarship selection board explaining how your high school career represented our chapter’s values of Scholarship, Leadership, Service, Citizenship, and Character. The most important part of your letter will address how service helped you become a leader in the school and/or community. Please include a current photo. Please return the completed application in a 9” x 12” envelope to the following address by the due date: Fishers Junior High School Attn: National Junior Honor Society Alumni Scholarship 13257 Cumberland Road Fishers, IN 46038 X 17 X This Scholarship Eligibility Requirements Photo Financial Information X Letter Letters of Recommendation X Statements Transcript X Explanations Application 4-17-15 Essays Due Date Include in the envelope: X Section C – Scholarship Eligibility Requirements Fishers High School Alumni Association Scholarship Due 4-17-15 Four scholarships will be awarded (two to HSEHS seniors and two to FHS seniors) to students planning to attend a college, university or trade school. Preference will be given to students having a relative who attended the original Fishers High School or Hamilton Southeastern High School. Write a short essay about yourself and also list any relative who attended and/or graduated from the original Fishers High School or Hamilton Southeastern High School. 4-17-15 X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Office by the due date. Include in the envelope: X 18 Section C – Scholarship Eligibility Requirements Fishers High School National Honor Society Scholarship Due Date 3-20-15 A $500 scholarship will be awarded to a senior at Fishers High School Eligibility Requirements: 1. Must be a member in good standing of the FHS National Honor Society 2. Must submit 2 letters of recommendation (exclusive of NHS Advisors) 3. Must submit an essay explaining how you have exemplified the four pillars of National Honor Society. This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements X Explanations Essays X Letters of Recommendation 3-20-15 X Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award award any scholarship or alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 19 Section C – Scholarship Eligibility Requirements Fishers Rotary Club Scholarship Due 4-10-15 This scholarship is offered to non-Rotarian children who are graduating seniors from HSEHS or FHS. Applicants are judged on citizenship, community service and the concept of “service above self.” Provide a letter (include the evaluation form) from a current teacher that describes the student’s citizenship, community service, and overall qualities that they would like to be considered. Please write a short response to each of the following essay questions (400 words or less): • How would you describe good citizenship in high school? • What does “service above self” mean to you? Describe an experience that exemplifies how you have displayed “service above self”. • How have you given back to the school community or the community at large? This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements X Explanations Essays Transcript X X Letters of Recommendation 4-10-15 Application Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Office by the due date. Include in the envelope: X 20 Section C – Scholarship Eligibility Requirements Forum Credit Union Scholarship Due 2-1-15 Program Summary: The Forum Credit Union Foundation is dedicated to supporting education in our community. Graduating seniors who have an account at FORUM Credit Union, or who have a parent or legal guardian with an account at FORUM, are eligible to receive a $20,000 collegiate scholarship (paid in $5000 renewable, annual disbursements). Applicant Eligibility: Each applicant must: • • • • • • Be a FORUM Credit Union member in good standing with your FORUM Credit Union account opening date no less than one-year prior to the time of application or have a parent/legal guardian who is a member in good standing with their FORUM Credit Union account opening date no less than one-year prior to the time of application. Be intending to study full-time (minimum of twelve (12) credit hours at an accredited college or university in a two or four year undergraduate degree program, for the fall semester. Have a weighted cumulative GPA of 3.0 or higher on a 4.0 scale. Be a U.S. citizen Be between the ages of 17 and 24. Complete the scholarship application form and all requested supporting documents, including the video (if applicable) by the entry deadline. Required Supporting Documents: A copy of your most recent report card (including cumulative GPA), a copy of your college or university acceptance letter (if available), the signed consent form, and the link to your video (optional). The Foundation will not be responsible for any lost, delayed, misdirected, illegible, incomplete, damaged or undeliverable application entries, or any delay or failure to transmit, process, receive or consider entries. *Relatives of FORUM Credit Union officers (anyone holding the position of Assistant Vice President, Vice President, and Chief Executive), board of directors, and supervisory committee members are not eligible to apply for collegiate scholarships. Relatives of non-officer FORUM credit union employees may apply for collegiate scholarships. No more than one collegiate scholarship may be awarded each year to the dependent of a FORUM Credit Union, non-officer, employee. Selection of Scholarship Recipients: • Scholarship recipients will be awarded based on a combination of factors, including the quality of the student’s application, extracurricular activities, work experience, and future aspirations. • Preference will be given to allocating scholarships equally among FORUM Credit Union’s areas of service. Based on applications received, this distribution may be adjusted. • No more than one collegiate scholarship may be awarded each year to the dependent of a FORUM Credit Union, non-officer, employee. • Scholarship applications will be reviewed by the Foundation Board of Directors. The decisions of the Board will be final. 21 Announcing the Winners: The scholarship winners will be contacted directly by telephone and/or email and will then be posted on the Foundation website. Potential recipients who cannot be contacted within ten business days following the selection process, may be disqualified and another recipient may be selected. Scholarships will be publicly announced and awarded annually at a presentation by the Foundation. Disbursement of Scholarships: • The scholarship recipients will receive proceeds for the Fall Semester. • A check will be issued directly to the appropriate department/office at the educational institution once the Foundation has been notified that registration has been completed (made payable to the institution for the benefit of the recipient). • Students must show proof that they are registered for at least twelve (12) credits during the fall semester (a letter of acceptance is required) • The funds may be used for any educational related expenses provided these expenses can be paid directly through the financial aid office. • If the total amount of the scholarship received exceeds the total expenses incurred by the recipient in completing his/her university/college education, the remaining funds will be applied to the following semester, or forfeited. License: By applying for this scholarship, you release and agree to indemnify and hold harmless FORUM Credit Union and the Foundation and their employees, directors, officers, affiliates, agents, and advertising and promotional agencies from any and all damages, injuries, claims, causes of actions, or losses of any kind resulting from your scholarship application or receipt or use of any scholarship. Conduct: The foundation reserves the right, in its sole discretion, to disqualify any entrant found to be violating the Official Scholarship Rules. Disclaimers, Liability, and Indemnification: By applying for this scholarship, you release and agree to indemnify and hold harmless FORUM Credit Union and the Foundation and their employees, directors, officers, affiliates, agents, and advertising and promotional agencies from any and all damages, injuries, claims and causes of actions, or losses of any kind resulting from your scholarship application or receipt of use of any scholarship. The foundation shall have no liability for any loss or damage of any videos submitted during the application process. Privacy/Use of Personal Information: By applying for this scholarship, each applicant (a) grants to the Foundation the right to use his/her name, mailing address, telephone number, and e-mail address (“Personal Information”) for the purpose of contacting and announcing the scholarship recipients; (b) grants to the foundation the right to use his/her personal information for publicity and promotional purposes relating to the awarding of the scholarship, in any and all media now known or hereafter devised, without compensation unless prohibited by law; and (c) acknowledges that the Foundation may disclose his/her personal information to thirdparty agents in connection with any of the activities listed in (a) and (b) above. The Foundation will use the recipient’s personal information only for identified purposes. Additional Information Required: 1. Do you have a FORUM Credit Union Account in either your name or the name of your parent/legal guardian? Yes No Please list the name that is on the FORUM Credit Union Account: 2. Has your account been open for a minimum of 12 months? (required for scholarship eligibility) Yes No 3. Are you related to a FORUM Credit Union employee? Yes No Please list the employee’s name:________________________________________ Essay Questions (Required): What are you most proud of accomplishing during your high school years? What activities do you hope to take part in during your college years? Please include any social or academic groups, clubs, athletic teams (varsity or club), volunteer activities, etc. 22 VIDEO Submission (optional) What is the link to the video portion of your application? Your video should be no longer than 2 minutes and should answer the question “How will earning this scholarship help me live my financial dreams?” If including a video, your video must meet all of the following criteria to be eligible for consideration: • Be intended for a family audience and therefore, not contain, depict or refer to any crude, vulgar, obscene, sexually explicit, disparaging, discriminatory, offensive, illegal or otherwise unsuitable language, activity or other content (as determined by the Foundation in its sole discretion). • Not contain, depict or refer to any content that disparages or refers negatively to the Foundation, the scholarship application process, or any other person or entity (as determined by the Foundation in its sole discretion). • Not conflict with any of the Foundation’s core values, or otherwise be objectionable to the Foundation (as determined by the Foundation in its sole discretion) • Not contain any content that violates any law or any third party’s rights (including privacy, personality and intellectual property rights, or copyrights). • Not promote, depict or refer to any commercial enterprises other than FORUM Credit Union or the Foundation • Meet all the guidelines and criteria imposed by YouTube with respect to videos submitted to You Tube. • In the event of a dispute, submissions shall be deemed to be submitted by the authorized account holder of the e-mail address associated with the entry (the “Applicant”). • If a video shows any individual in such a way that the individual can be recognized, you must obtain written consent from the individual to permit the Foundation to copy, display, transmit and otherwise use the video, and you must provide the Foundation the original copy of that consent upon the Foundation’s request. 2-1-15 X X X X 23 X This Scholarship Eligibility Requirements Pg. Release Photo Financial Information Video Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Please return the completed application and all other required documents in a 9” x 12” envelope to the following address by the due date: Forum Credit Union Foundation Attn: Foundation Executive Director/E2 11313 USA Parkway Fishers, IN 46037 X FORUM Credit Union Foundation, Inc. Scholarship Consent Form The FORUM Credit Union Foundation, Inc. and FORUM Credit Union may use photographs, slides, videos, or illustrations of students in newsletters or publications produced by FORUM Credit Union, in slide presentations, videos, and/or web sites about the scholarships, by the news media in FORUM Credit Union Foundation, Inc. news coverage, in video productions aired on television produced by FORUM Credit Union, and in other similar forms of communication. Local media (TV, newspaper, radio stations) frequently want to interview students to add a personal touch to stories. Students’ comments may be used in newspapers or broadcast on radio or TV. Please initial the statements below: _____ I give permission to the FORUM Credit Union Foundation, Inc., FORUM Credit Union or the news media to use photographs, slides, videos, illustrations, or interviews of my child. Further, I authorize their use without inspecting or approving the finished product or its specific use. _____ I acknowledge the FORUM Credit Union Foundation, Inc. Scholarship is not transferable to another college or university without prior approval of the FORUM Credit Union Foundation, Inc. _____ I have received or reviewed a copy of the Official Scholarship Rules (available online at www.forumcu.com/foundation). _____ I am eligible for the FORUM Credit Union Foundation, Inc. Scholarship, per the official scholarship rules. Student’s name:_______________________________________ Please Print Date: ______________ Signature of Student: _____________________________________________________________ Name of Parents/Legal Guardian: ___________________________________________________ Please Print Signature of Parent/Guardian:____________________________________________________ Street address, city, state, zip:_____________________________________________________ Please include this completed and signed form with your scholarship application. 24 Section C – Scholarship Eligibility Requirements Hamilton County Extension Homemakers Scholarship Due 3-2-15 The Hamilton County Extension Homemakers will award four $500 scholarships to Hamilton County students majoring in the field of Health and Human Sciences or related fields. Eligibility: You must be a high school senior entering college or a currently enrolled undergraduate, majoring in Health and Human Science or related field. Included would be majors in departments of Foods and Nutrition; Family and Consumer Science Education; Interior Design; Textile and Clothing Design; Hospitality & Tourism; Child Development and Family Studies; Consumer Science & Retailing; Nursing; Fitness and Health; Speech, Language and Hearing; and Health Sciences. The scholarship will be awarded at the end of the first semester provided that at least a C average or decimal equivalent is maintained in the first semester. Recipients must submit grade reports to receive funds for the second semester. Any previous applicant may reapply, including current college students. A scholarship committee of the Extension Homemakers Board will review the applications and may interview applicants. In judging, the following points will be considered: • • • • • • • At least a C average or decimal equivalent Financial Need – List the family and student’s annual income, other assistance in the way of gifts (ex. Grandparents), grants, loans, other scholarships or awards and the sources of any assistance. Leadership ability Character Personality Three sealed references required (include the evaluation form with each one): At least one from a school educator; two from other people unrelated to you Attach a picture with application Reference letters should include information on financial need, scholastic ability, community involvement, personal characteristics, and leadership. Write a paragraph describing your family financial situation and how that relates to the need for this scholarship. This is in addition to the list requested in the 2nd bullet point above about Financial Need. Please return the completed application and all other required documents in a 9 x 12” envelope to the following address by the due date: 25 Photo X X This Scholarship Eligibility Requirements Financial Information X Statements X Explanations Transcript Essays X Letters of Recommendation 3-2-15 Application Due Date Purdue Extension – Hamilton County Extension Homemakers Scholarship Committee 2003 Pleasant St. Noblesville, IN 46060 317-776-0854 Include in the envelope: X Section C – Scholarship Eligibility Requirements HSE Education Association Scholarship for People who Intend to Become Teachers Due 4-10-15 BY NOON This is a scholarship for FHS/HSEHS seniors who intend to become teachers. School involvement, community service, character, work ethic, and deservedness considered. One essay and one letter of recommendation must be submitted with the application. Choose one of the following essay topics and submit a well-developed essay that is typed, double-spaced, 12 pt. font. The essay should include an introduction with a thesis, body, and conclusion. A panel of teachers will evaluate the essay using the 6 + 1 traits rubric. Please DO NOT put your name anywhere on or in the essay. 1. Explain the three qualities/skills every teacher must possess to be effective. 2. Describe a person with a passion for teaching. What are his/her classroom behaviors and practices? Describe the students in his/her classroom. How does the teacher develop and/or maintain this passion for teaching? Provide a letter of recommendation (include the evaluation form) from a non-related adult who can best attest to your character, work ethic, and deservedness. Please return the completed application in a 9” x 12” envelope to Mrs. Foster at HSEHS or Mrs. Isom at FHS by the due date. 26 This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements Essays X Explanations Letters of Recommendation 4-10-15 by NOON X Transcript Application Due Date Include in the envelope: X Section C – Scholarship Eligibility Requirements Leslie Anne Hulse Memorial Scholarship Due Date 3-20-15 A $1500 scholarship will be awarded to a senior at Fishers High School or Hamilton Southeastern High School Eligibility Requirements: 1. 2. 3. 4. Must be in the top 1/3 of your class Must be majoring in law enforcement, social work or related field Must attend a four year college or university Make a statement of your plans as they relate to your educational and career objectives and future goals 3-20-15 X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 27 Section C – Scholarship Eligibility Requirements Walter F. Kelly Scholarship Due Date 3-20-15 A $500 scholarship will be awarded to a senior at either Hamilton Southeastern H.S or Fishers H.S. Eligibility Requirements: 1. Must intend to major in a field related to business or politics 2. Must plan on attending a four year college or university 3. Top 1/3 of your class 4. Must be involved in a variety of activities 5. Make a statement of your plans as they relate to your educational and career objectives and future goals 3-20-15 X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 28 Section C – Scholarship Eligibility Requirements Charles Leonard Scholarship Due Date 3-20-15 A $500 - $1,500 scholarship will be awarded to a senior(s) at Hamilton Southeastern H.S and/or Fishers H.S. Eligibility Requirements: 1. Must intend to major in a field related to education/teaching 2. Must plan on attending a four year college or university 3. Top 1/3 of your class 4. Must be involved in a variety of activities 5. Make a statement of your plans as they relate to your educational and career objectives and future goals 3-20-15 X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts directly ctly to the recipient Scholarships are made payable to the intended school of choice and not dire 29 Section C – Scholarship Eligibility Requirements Joseph Liddell Memorial Scholarship Due Date 3-20-15 A $500 scholarship will be awarded to one male and one female graduating senior from Fishers High School. Note: recipients will be selected by representatives of Harrison Parkway Elementary and the Liddell Family. Eligibility Requirements: 1. Must have attended Harrison Parkway Elementary for three complete school years. Must indicate years of attendance 2. Must have a minimum 3.0 GPA and attach a high school transcript 3. Must plan on attending a four year college or university 4. Must submit two (2) letters of recommendations from teachers, counselors, coaches or other adults who can attest to the student’s character and work ethic 5. Must submit a brief summary of the student’s college and career plans/goals. Please also include a summary of how the student’s early years at HPE helped pave the way for their education. This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements X Explanations Essays 3-20-15 X X Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts Scholarships are made payable to to the intended school of choice and not directly to the recipient 30 Section C – Scholarship Eligibility Requirements Morgan Family Scholarship Due Date 3-20-15 A $1500 renewable 4 year scholarship ($6000 total) will be awarded to a senior at either Fishers High School or Hamilton Southeastern High School Eligibility Requirements: 1. Must attend 4 year college or university 2. Must have a 3.5 GPA or higher 3. Must submit written personal story describing finance need or special circumstances 4. Evidence of free and reduced lunch enrollment may be submitted 5. Letters of recommendation are encouraged (limit 2) 6. Must demonstrate participation in school or community activities 7. Scholarship is renewable contingent on 2.8 or higher college GPA and continued need X This Scholarship Eligibility Requirements Pg. Photo Financial Information X Statements X Explanations Essays 3-20-15 X X Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship scholarship or alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 31 Section C – Scholarship Eligibility Requirements Coach Don Nagy Memorial Scholarship Due 4-10-15 Hamilton Southeastern High School Football Program in cooperation with the Nagy Family, has established a memorial scholarship in honor of Don Nagy who was a longtime volunteer football coach for the Royals. Coach Nagy was extremely passionate about his family, the Michigan State Spartans and the Hamilton Southeastern Royals. Coach Nagy believed in the life lessons that are learned on the football field. He was a tremendous asset to the Football Program and was a role model to the football players he coached. A scholarship of $2000 will be given to a Hamilton Southeastern High School senior football player who best exemplifies the qualities and characteristics of Coach Nagy. Criteria for the scholarship: • Must be a current Hamilton Southeastern High School graduating senior and a 4 year member of the football team • School activities • Academic achievement • Community service • Leadership roles • Must be planning to attend a 4 year college Activities Please list all school organizations, clubs and athletic teams in which you have participated. Include any honors, awards or leadership positions. Also, include plans after high school including college choice, major and future career goals. Lessons Learned Describe a life lesson (positive or negative) that you learned playing football at HSEHS that has impacted your personal growth. Describe the situation and the lessons you learned through this experience. Recommendation Letters Required: (Include the evaluation form with each one.) *One from a teacher, coach or an administrator who can verify academic and leadership potential. *One from a person in the community who knows you well. Questions? Contact Coaches May, Cutter or Self. 32 Photo This Scholarship Eligibility Requirements Pg. Financial Information X Statements X Explanations Essays 4-10-15 X X Letters of Recommendation Transcript Application Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Department by the due date. Include in the envelope: X X Section C – Scholarship Eligibility Requirements Peterson Family Scholarship Due Date 3-20-15 A $1000 scholarship will be awarded to a FHS senior and a HSEHS senior. Eligibility Requirements: 1. 2. 3. 4. 5. Must be in the top 1/3 of your class Must be majoring in a field related to business or education/teaching Must attend a two year of four year college or university Must be involved in a variety of activities Make a statement of your plans as they relate to your educational and career objectives and future goals. 3-20-15 X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 33 Section C – Scholarship Eligibility Requirements Kent Riley Memorial Scholarship Due 3-27-15 One scholarship each for a HSEHS senior and a FHS senior who plan to attend any college, trade or technical school in the fall. Special consideration for Key Club members, but a student from the second 20% of the class will be considered if a Key Club member is not selected. Essay: Please compose a brief (approximately 50-100 word) essay detailing how education and/or a specific educator who has impacted your life and the importance the same has had on your future plans/goals. Indicate whether you are a current member of Key Club and the name of the club. Indicate whether your parent or grandparent is a Kiwanis Member and the club name. *Essays will be reviewed for substantive content and grammatical accuracy. The Kiwanis Club of Fishers Station will solely determine the final decision for the award. 3-27-15 X X 34 This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Please return the completed application in a 9 x 12” envelope to the Guidance Office by the due date. Include in the envelope: X Section C – Scholarship Eligibility Requirements Royals Varsity Club Scholarship Due 6-24-15 The Royals Varsity Club has established two $1,500 scholarships to be awarded to one male and one female senior student-athlete. Criteria for this scholarship include: • 2015 Hamilton Southeastern High School Graduate • Participation in athletics as a senior at HSEHS • Academic achievement • Community service • Leadership roles • One letter of recommendation is required: • One from a teacher, administrator, or person from the community who can attest to your character, academic and leadership skills. • Additional Requirements: • Photo of yourself • Typed responses to the following prompts: Activities: Please list all school organizations, clubs and athletic teams in which you have participated. Include any honors, awards, or leadership positions. Expand on your involvement and responsibilities and include the criteria of any awards you have received. Also, include community or church organizations in which you have participated and the extent of your involvement. Please include your future educational plans including the college you will be attending. What it means to be a Royal: What does “being a Royal” mean to you and how has “being a Royal” impacted your life during high school? Describe your athletic experience (positive or negative) during your four years at HSEHS that had an impact on your personal growth. Describe the situation(s) and the lesson(s) you learned through this experience. Please limit your total essay to 500 words or less. X X X 35 X This Scholarship Eligibility Requirements Photo Financial Information Statements Explanations Essays X Letters of Recommendation Application 6-30-14 Transcript Due Date Please return the completed application in a 9” x 12” envelope to the Guidance Office by the due date. Include in the envelope: X Section C – Scholarship Eligibility Requirements Saxony/Republic Scholarship for Achievement in the Arts Due Date 3-20-15 A $500 - $1,000 scholarship will be awarded to a senior(s) at Hamilton Southeastern H.S and/or Fishers H.S. Eligibility Requirements: 1. Must intend to pursue an education in the visual or performing arts 2. Must have overcome adversity 3. Top 1/2 of your class 4. Make a statement on the adversity you had in your life and how you overcame it 5. Provide no more than two letters of reference 3-20-15 X X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts Scholarships are are made payable to the intended school of choice and not directly to the recipient 36 Section C – Scholarship Eligibility Requirements Claire Tatom Memorial Scholarship Due Date 3-20-15 Sponsored by Geist Elementary PTO, the Claire Tatom Memorial Scholarship is a $500 scholarship awarded to one male and one female student graduating from either Hamilton Southeastern H.S or Fishers H.S. Eligibility Requirements: 1. Must have attended Geist Elementary for one complete school year K-4 2. Top 1/3 of your class 3. Must be planning on attending a four-year college or university 4. Be active in a variety of activities 5. Make a statement of your plans as they relate to your educational and career objectives and future goals 6. Write a 300-500 word essay on what attending GES meant to you in your education 3-20-15 X X X X This Scholarship Eligibility Requirements Pg. Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date Application may be delivered electronically to [email protected] or delivered to the HSE Administration building at 13485 Cumberland Road. X Hamilton Southeastern Schools Foundation Administered Scholarship Scholarship HSSF reserves the right to not award any scholarship or alter scholarship amounts Scholarships are made payable to the intended school of choice and not directly to the recipient 37 Section C – Scholarship Eligibility Requirements The Twists and Turns Scholarship Hunter Law Office, P.C. Due 4-17-15 The Twists and Turns Scholarship by Hunter Law Office, P.C. will be awarded to the applicant who, in the judgment of the Selection Committee, appears most deserving based on the scholarship criteria. One scholarship of $500 will be given to a student from Hamilton County and one scholarship of $500 will be given to a student from Parke County. Eligibility Requirements: • Must be at least a senior in high school (current college students may apply) • Must be or will be a graduate of a high school in Hamilton County or Parke County • Must be enrolling in a college or attending college in 2015-2016 school year • There is not a GPA requirement Application Requirements: 1. Applicant must complete the Uniform Application for Community Scholarship Form 2. Applicant must submit with their application packet (1) Personal Recommendation from an instructor, counselor, club advisor, coach, church leader, or employer 3. Applicant must submit with their application packet (1) response to the following essay question in times new roman, double-spaced,12 pt. font: In the past, life was simpler. In today’s changing times, life is more complex with all its unexpected twists and turns that inevitably take us off course. In 800 words or less, please tell us about a time that life has taken an unexpected twist or turn and how you plan on utilizing it as a learning experience as you navigate through college? 4-17-15 X X X X 38 X This Scholarship Eligibility Requirements Pg. Release Photo Financial Information Statements Explanations Essays Letters of Recommendation Transcript Application Due Date 4. Please include a brief statement highlighting who your personal recommendation is from and why that person is important to you. 5. Applicant(s) may be asked to appear before the Selection Committee for a personal interview. Please return the completed application in a 9” x 12” envelope To: Hunter Law Office, P.C. 10412 Allisonville Road, Suite 113 Fishers, IN 46038 Include in the envelope: X The Twists and Turns Scholarship Hunter Law Office, P.C. Release I certify that the information contained in this application is true and that the essay was composed entirely by me, the undersigned. Furthermore, I understand that this application will not be processed if incomplete or submitted without all the required information by the specified deadline. By signing this application, I hereby consent to allow Hunter Law Office, P.C., to use any and all information provided in this application for purposes of public recognition and waive my right to any claim based on such release of the provided information. Applicant’s Signature:_____________________________________________________ Date:________________ 39 Item 1 – Uniform Application for Community Scholarships Form Student Information Name ______________________________________________________________________________________ (Last) (First) (Middle) Address ____________________________________________________________________________________ (Number) (Street) (City) (Zip) Date of Birth ___________________________________ Home Phone___________________________ Include Area code U.S. Citizen: Yes No Student Cell Phone________________________________ Include Area Code Preferred Email_________________________________ Parents/Guardians’ Names __________________________ /_____________________________________ Father’s Occupation _________________________________________________________________________ Mother’s Occupation ________________________________________________________________________ Siblings’ Names and Ages ____________________________________________________________________ High School Information (Academic) High School Attending_____________________________________ Grad Date _____________________ Guidance Counselor’s Name___________________________________________ Cumulative GPA _____________ Class Rank ________/________ College Information College Choice _______________________________4yr/Vo-Tech/Community Full Time: Yes No Accepted: Yes No Intended Major ___________________Degree___________________________ If you do not plan to attend a college or university; what are your plans after graduation? ________________________________________________________________________________________________ Grant/Scholarship Information: Please list the names and amounts of any grants or scholarships that you have been awarded for the coming school year. Name Amount Status (Rec’d, Pending…) 40 Item 1 – Uniform Application for Community Scholarships Form Please use this preferred format if adding information on additional sheets of paper. Academic Organizations, Honors, Awards, Leadership Roles Grades 9,10,11,12 School Organizations Grades 9,10,11,12 Clubs, sports, offices held, awards, music, etc. Community or Church Organizations Grades 9,10,11,12 Volunteering, 4-H experience, sports, classes, etc. Employment Experience Grades 9,10,11,12 List name of company(s) and position/responsibilities 41 Item 2 – Evaluation Form to accompany each Letter of Recommendation Student Name: _________________________________________ We would like to thank you for taking the time to fill out this Evaluation Form and write a Recommendation Letter. Your input will be valuable to us in making our decision about who should receive a scholarship. There are many deserving students and we want to make sure we carefully consider all who apply. Please check the boxes based on your opinion of the student. Signature of Person Recommending: ______________________________________________________________ Printed Name of Person Recommending: __________________________________________________________ Please return this evaluation form and your letter of recommendation in a sealed and signed envelope to the student requesting your recommendation. Leadership Motivation Integrity Concern for Others Service Oriented SelfConfidence Initiative, Independence Reaction to Setbacks Respected by Faculty Maturity Intellectual Promise Creative, Original Thought Disciplined Work Habits Academic Achievement OVERALL Very Good (Well Above Average) Excellent (Top 10%) Outstanding (Top 5%) One of the Top Few I’ve Encountered (Top 1%) No Basis Below Average Average Good (Above Average) 42
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