CHIPPEWA HIGH SCHOOL
CHIPPEWA HIGH SCHOOL
LOCAL SCHOLARSHIPS
This packet includes the following:
▪ Description and eligibility for each scholarship
▪ Sponsors and amount of scholarship
▪ Scholarship Application
LOCAL SCHOLARSHIPS
CHIPPEWA HIGH SCHOOL
The following scholarships are available to seniors graduating from Chippewa High School on a yearly basis. In order to qualify, students must meet the stated criteria and apply for the scholarship, returning the application to the Guidance Office by February 28, 2017.
1. American Legion Auxiliary Post 407 Scholarship – Students must have applied and been accepted in a recognized college or university of advanced learning, and have a parent or grandparent who are veterans of one of the branches of the armed services. $500.00 per year will be awarded for one year of higher education. An application is required.
2. American Legion Scholarship – Students must have applied and been accepted in a recognized college, university or technical school of advanced learning, and have a parent or grandparent who are veterans of one of the branches of the armed services. $1,000.00 per year will be awarded for up to 4 years of higher education. An application is required.
3. Chippewa Education Association Scholarship – Students must have
applied and been accepted to a two or four year college. Applicants with a parent or guardian who is a member of a union will be given preference although others may apply. The scholarship is a one-time award of up to $1000 and may be awarded up to 4 recipients. An application is required with an additional well written, typed essay. The essay should be approximately 150 words discussing the applicant’s goals for the future and how his/her education at Chippewa has prepared them to meet those goals.
4. Chippewa Excellence Foundation Scholarship – Students must have applied and been accepted at a bonafide institution of higher learning in a 2-year or 4-year degree granting program. $500.00 per year will be awarded for up to 4 years of higher education. An application is required.
5. Chippewa Twp. Fire Fighters Assoc. – This scholarship is for students pursuing a degree in an emergency medical tech program, fire science, or paramedics. This scholarship is a one-time award of $500.00 to any student entering into a Fire Science or EMS program. This includes an emergency medical technician (basic/intermediate/paramedic) or firefighter certification. A full complete application is required.
6. Doyle Chisnell Scholarship – Students must be accepted at a bonafide institution of learning in a degree granting program in Engineering (Mechanical or Chemical.) A cumulative GPA of 3.0 or above or an ACT composite score of 21 or above or an SAT score of 1100 or above is required. An application is required.
7. Doylestown Area Business Association and Rogues Hollow Festival Committee – This scholarship is for students attending a recognized technical, trade, community school or college pursuing skills in a trade or service field not a profession. $500.00 will be awarded. An application is required.
8. Doylestown Garden Club Scholarship – Students must have applied and been accepted at a two or four year college. Applicants must be going into the field of Horticulture, Landscaping, Floral Design and Marketing, Agriculture Science, Environmental Science, Earth Science, Forestry, Plant Biology, Nursery Management, or other related fields. An application is required.
9. J. V. Hartel Music Scholarship – Students must have applied and been accepted at a college. Applicants must have an interest in the field of music. Students must have a GPA of 2.75 or higher and a College Board score of 21 or higher or 1100 on the SAT. An application is required.
10. Keegan Starr Memorial Marching Band Scholarship – This is a first year college or university scholarship. It will be awarded to the marching band member applicant who has been recommended by the band director, based on warmth and caring shown to fellow band members, and the demonstrated ability to make all marching band members feel that they are a worthwhile part of a rewarding organization. An application is required.
11. Lions Club Scholarship – Students must have applied and been accepted at a four year college. Students must demonstrate academic excellence and community involvement. An application is required.
12. Matt Helmick Scholarship – This scholarship is available to a student with a cumulative 3.00 GPA or higher who is enrolled in a college or technical program. This student also must have played in the Chippewa Boys Soccer Program for 3 or 4 years in high school. A full-complete application is required. This scholarship is a one-time award of $1,000.00.
13. Ralph and Eloise Busson Scholarship – Students must be accepted to a college, university or technical school. An application is required.
14. Ruth Smith Music Scholarship – Students must have applied and been accepted at a four year college and express an interest in the field of music. An application is required.
15. Sons of the American Legion – Restricted to high school graduates intending to enroll in a recognized trade school, technical school, or training program of a vocational nature. An application is required.
17. Penny Hetsch Memorial Scholarship – Students must have applied and
been accepted at a four year accredited college or university. Must be active
in LEO Club and/or other community service organizations. Must have
participated in Drama and/or other Fine Arts groups such as Band, Choir,
Speech Contest, or One Act Contest. Student must have a cumulative GPA
of at least 2.5. If you are interested in this scholarship a copy of your latest
transcript needs to be attached to the application along with your essay on
the importance of community service.
18. Robert and Sarah Smith Scholarship - Students must have applied and
been accepted at a two or four year college. Students must demonstrate
academic excellence and community involvement. Also, the student must
be an active member of the LEO club. An application is required. This
scholarship is a one-time award of $1000.00.
19. The Keyes Family Endowed Scholarship – Established in May 2011, in
honor of Hank and Judi Keyes of Doylestown, Ohio, for their hard work and
sacrifices that enabled their three daughters to pursue their educational
endeavors. This scholarship is intended for graduates of Chippewa High
School, (their daughters’ alma mater) who are pursuing their postsecondary
education at the University of Akron. Preference is given to a student with a
wide variety of interests and experiences. Applicants must have a minimum
of 3.25 cumulative GPA to be considered. NOTE: An additional paper at the end of this packet is required to be completed for this scholarship.
20. Three Point Club Scholarship – Students must have applied and been
accepted at a four year accredited college or university or be in enrolled in a
Technical Program. Students must have played in the Chippewa Basketball
program for at least 3 years, including their senior year. You must show
team spirit and leadership, while maintaining a minimum cumulative 3.0
GPA or higher.
This scholarship is a one-time award of $500.00 and is awarded to one
female and one male. NOTE: An additional paper at the end of this packet
is required to be completed for this scholarship. Applicants must also
submit an application and an essay on “what your basketball experience has
taught you about teamwork.”
21. Ann D. Homer Black Memorial $500.00 Scholarship -
“When the time comes for me to leave (this life), I’ll…hope that I’ve
contributed something worthwhile to the boys and girls I’ve known during my
teaching years.”
– Established in June 2013, in honor of Ann Black’s many years of dedicated
service to the school and especially to her fourth grade students. This
scholarship is intended for graduates of Chippewa High School who are
pursuing a postsecondary degree in elementary education. The applicants
should have a cumulative GPA of 3.0, and submit a one page essay in which
1) Identifies personal qualities that applicant possesses that will help make
you a fondly remembered elementary school teacher and (2) a description of ‘something worthwhile’ that you hope to contribute to the boys and girls you will come to know during your teaching years. This essay needs to be specific.
22. The Patsy Taylor Educating the Future Scholarship - is offered to any
senior at Chippewa High School who has chosen teaching as their profession
and have been accepted to an accredited four year college or university. The
scholarship is a one-time award of $500. To apply, please submit a written
explanation of why you have decided to become a teacher and what
influenced your decision. Preference will be given to students with unique
and creative ideas on teaching and enriching the lives of children. Please
feel free to share other important plans around your career choice.
23. Joseph Hajek Memorial Scholarship – Students must be accepted to a
college, university or technical school. An application is required. This scholarship is for $500.00.
24. Chippewa Touchdown Club Scholarship – Applicant must have played
football from peewee through high school. This scholarship is for $500.00.
(See additional paper at the end of this packet for additional criteria on
scholarship.) Students must have applied, been accepted and attending a
recognized college, university or technical school of advanced learning.
25. Don Olney Memorial Scholarship - This scholarship is available to a student
with a cumulative 3.00 GPA or higher who is enrolled in a college or technical
program. This student also must have played in the Chippewa Golf Program
for 3 or 4 years in high school. A full-complete application is required. This
scholarship is a one-time award of $1,000.00.
26. Wadsworth-Rittman Hospital Medical Staff Memorial Scholarship -
There are two scholarships available. One will be awarded to a Rittman High
School senior and one to a Chippewa High School senior who has a minimum
cumulative 3.20 GPA, on a 4.00 scale, and is enrolled or will be enrolling as a
full-time student at a four-year educational institution, pursuing a field of
study in the medical, nursing, or health services professions.
NAME ________________________________
LOCAL SCHOLARSHIPS - 2017
IMPORTANT - Look over the criteria of each scholarship.
Please put a √ mark in front of the scholarships to which you are applying.
Make certain you meet the specific qualifications.
Sponsor Amount per Number Total Amount Scholarship Awarded
Example:
[pic]0. Company ABC $500.00 1 500.00
1. American Legion Auxiliary $500.00 1 $500.00
2. American Legion 4,000.00 1 4,000.00
3. Chippewa Education Association 1,000.00 1 1,000.00
4. Chippewa Excellence Foundation 2,000.00 4 8,000.00
5. Chippewa Twp. Fire Fighters Assoc. 500.00 1 500.00
6. Doyle Chisnell 500.00 1 500.00
7. Doylestown Area Business Assoc. 500.00 1 500.00
And Rogues Hollow Festival Comm
_____8. Doylestown Garden Club 500.00 2 1,000.00
9. J. V. Hartel Music 250.00 2 500.00
10. Keegan Starr Memorial Marching Band 1,000.00 1 1,000.00
11. Lions Club 4,000.00 1 4,000.00
12. Matthew Helmick Scholarship 1,000.00 1 1,000.00
13. Ralph & Eloise Busson 500.00 1 500.00
14. Ruth Smith Music 353.00 1 353.00
15. Sons of the American Legion 500.00 2 1,000.00
16. Penny Hetsch Memorial Scholarship 500.00 1 500.00
17. The Keyes Family Endowed Scholarship 500.00 1 500.00
18. Robert and Sarah Smith Scholarship 1000.00 1 1,000.00
19. Three Point Club Scholarship 500.00 2 1,000.00
20. Ann D. Homer Black Scholarship 500.00 1 500.00
21. Patsy Taylor Educating the Future
Scholarship 500.00 1 500.00
22. Joseph Hajek Memorial Scholarship 500.00 1 500.00
23. Chippewa Touchdown Club Scholarship 500.00 1 500.00
24. Don Olney Memorial Scholarship 1,000.00 1 1,000.00
25. Wadsworth Rittman Hospital Medical
Staff Memorial Scholarship 3,000.00 1 3,000.00
NAME ________________________________
CHIPPEWA HIGH SCHOOL
Local Scholarship Application
2017
Instructions for filling out this application:
1. Answer all questions. Use N/A if question does not apply to you.
2. Application must be in print or typed. Generally, scholarship committees do not interview candidates. You are judged by what you put on this application.
3. If spaces provided are not sufficient, please attach separate sheets.
4. School you are attending:
Chippewa High School
Wayne County Schools Career Center
CHIPPEWA HIGH SCHOOL
Local Scholarship Application
2017
Name ________________________________________ Phone # ____________
Last First M. I.
Home Address _____________________________________________________
_____________________________________________________
Age ______________
Parent/Guardian ___________________________________________________
I agree to allow this application, along with my transcript, to be reviewed by the scholarship committees.
_______________________________________ __________________
Signature of Student Date of Application
_______________________________________ __________________
Signature of Parent/Guardian Date of Application
Do you have a parent or grandparent who is serving or has served in one of the branches of the armed forces?
Yes No
If “yes”, please indicate - his/her name: ____________________________
how related: ____________________________
which branch of service: ___________________
Do you have a parent that is a member of a union, if so what union?
___________________________________________________________________________
Intended College Major _________________________________________________________
_____________________________________________________________________________
Colleges or Universities where you have applied:
Have you been accepted?
1. _______________________________________ Yes No
2. _______________________________________ Yes No
3. _______________________________________ Yes No
4. _______________________________________ Yes No
5. _______________________________________ Yes No
Check “Yes” only if you can
provide confirmation of your
acceptance.
Make a brief statement discussing your career and educational plans after graduation and why you have chosen this field.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Briefly discuss your reasons for applying for scholarship assistance.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
Number of children in your family ____________________
Their age(s) ______________________________________
Number of children currently in college ________________
List your work experience, along with dates employed:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Will you be working this summer? Yes No
List activities during grades 9-12 and “X” the appropriate grade level(s).
Major Student Activities: sports, band, high school plays, cheerleading
(Activities requiring substantial effort beyond classroom)
|Major Student Activities |9 |10 |11 |12 |
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Student Leadership Activities: class officers, student council, show choir, clubs
(Activities requiring some effort beyond classroom)
| Student Leadership Activities |9 |10 |11 |12 |
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Community Service & Volunteer Activities: Suggested but not limited to SADD, food drive, LEO club, STAR, Habitat for Humanity
(Activities requiring some effort beyond the classroom)
|Community Service Activities |9 |10 |11 |12 |
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Academic Achievements: Honor Roll and Merit Roll, Student of the Month, National Honor Society, etc.
|Academic Achievements |9 |10 |11 |12 |
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|Other Achievements |9 |10 |11 |12 |
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ALSO -
**Write and attach a short essay explaining why community service is important.**
*Every packet that is completed and returned will have an updated transcript attached to the packet before sending to the scholarship committees you have chosen
To be completed by your counselor:
Cummulative GPA ___________ at end of 1st semester of senior year.
Counselor Verification Signature: ___________________________________
Chippewa Football Scholarship Guidelines
1. Applicant must have played football from Peewee through High School.
- If the player moved into Chippewa School System we will permit documentation showing the applicant played. Team photo’s, yearbook photos, certificates, letter from the coach or league will be acceptable.
- Third - Fourth Grade = two points
- Fifth – Sixth Grade = two points
- Seventh – Eighth Grade = two points
- Four years in High School = four points
TOTAL POINTS = TEN POINTS
2. If there is a tie in points from the first guideline we will then use the applicants G.P.A. Whatever the actual G.P.A. is will be added to the pervious ten points. The applicant with the highest number of points will be chosen.
3. If a tie still remains after the first and second guideline the applicants ACT score will be used. Whatever the actual ACT score is will be added to the total from Guideline one ten points) and guideline two (actual G.P.A.) total points. The applicant with the highest number of points will be chosen.
4. If a tie still remains we will then look at Other Activities the applicant has participated in. These activities can be in or out of school activities. Some examples would be Choir, Band, Leo Club, Student Council, Boy Scouts, and Church organization. We will add one point for each activity. The applicant with the highest number of points will be chosen.
5. All monies will be paid directly to the student as long as they are attending a recognized college, university or technical school. The funds can be used for tuition or for books.
[pic]
The Team Behind The Team
$500.00 Scholarship
There are two scholarships available. One will be awarded to a Chippewa High School senior boys basketball player and one to a Chippewa High School senior girls basketball player. Students must have applied and been accepted at a four year accredited college or university or be enrolled in a Technical Program. These students must have played in the Chippewa Basketball program for at least 3 years, including their senior year. You must show team spirit and leadership, while maintaining a minimum 3.0 GPA or higher. These scholarships are a one-time award of $500.00, one for each basketball program. If you are interested in this scholarship a full-complete application is required (from the guidance department), plus an essay on “what your Basketball experience has taught you about teamwork.”
Name_____________________________________________ Phone #___________________
College___________________________________________ Planned Major______________
Technical School____________________________________ Course of Study_____________
Have you been notified, or do you anticipate notification, of any scholarships or financial aid award for the coming academic year? Please list and include the amount of each.
1. ___________________________________________ $____________________
2. ___________________________________________ $____________________
State the number of years that you have been a Chippewa Basketball player: ____________
Please return all items to the Chippewa Guidance Office
The Keyes Family Endowed Scholarship
Established in May 2011, in honor of Hank and Judi Keyes of Doylestown, Ohio, for their hard work and sacrifices that enabled their three daughters to pursue their educational endeavors. This scholarship is intended for graduates of Chippewa High School, (their daughters’ alma mater) who are pursuing their postsecondary education at The University of Akron. Preference is given to a student with a wide varity of interests and experiences. Applicants must have a minimum of 3.25 cumulative grade point average to be considered.
Name: _________________________________________________________________ Date: ___________
Last First M.I.
Address: ______________________________________________________________ Apt. # ____________
City: _______________________________ State: _______________________ ZIP Code: ___________
Phone: _____________________________________ Email: ____________________________________
SS#: ______________________________ U/A Student I.D.# __________________GPA ____________
Birth Date: MO./Day/Yr. ________________ College Major: ______________________________
Parent/Guardian’s Names: ________________________________________________________________
Parent/Guardian’s Annual Income: ______________________ Does your parent work at U/A? _____
Please list your activities at Chippewa High School and the community: _______________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Awards: _________________________________________________________________________________
__________________________________________________________________________________________
Please attach a paragraph stating your education and career goals.
RITTMAN MASONIC & EASTERN STAR
SCHOLARSHIP APPLICATION FORM
(FOR CHIPPEWA HIGH SCHOOL SENIORS)
Due February 29, 2016
There are four scholarships available. Two will be awarded to a Rittman High School senior and two to a
Chippewa High School senior who is enrolling in an accredited two year or four year college or university
on a full-time basis. Must require financial need and have a minimum 2.50 GPA. This scholarship is
renewable so long as the student maintains a 2.80 cumulative GPA in college and attends full-time.
Please print or type
Name of Student _______________________________________________________________________
Address ______________________________________________________________________________
City/State/Zip Code_____________________________________________________________________
Telephone___________________________ Email Address_____________________________________
High School __________________________________________________________________________
College ______________________________________________________________________________
Planned Major_________________________________________________________________________
FINANCIAL INFORMATION:
1. Names of Parents/Guardians__________________________________________________________
2. Father’s employer and position________________________________________________________
3. Mother’s employer and position________________________________________________________
4. Student’s employer and position_______________________________Hours per Week___________
5. Adjusted gross annual family income: IRS Form 1040 (line 37) ______________; IRS Form 1040A
(line 21) ______________; IRS Form 1040EZ (line 4) ______________
6. Number and ages of other dependent children ____________________________________________
7. Number of other family members currently attending college________________________________
8. Estimated market value of parents’ assets (including cash, investments, savings/checking accounts,
money market accounts, real estate) ____________________________________________________
9. Estimated market value of student’s assets_______________________________________________
10. Are there any special circumstances, other than family income, that should be considered in
evaluating your application (family debts, loss of income, illness, etc.)? If so, please explain _______
_________________________________________________________________________________
11. Have you been notified, or do you anticipate notification, of any scholarships or financial aid awards
for the coming academic year? Please list and include the amount.____________________________
_________________________________________________________________________________
RITTMAN MASONIC & EASTERN STAR
SCHOLARSHIP APPLICATION FORM
(FOR CHIPPEWA HIGH SCHOOL SENIORS)
page 2
ALSO INCLUDE:
• A personal letter describing in no more than one page why you should receive the award.
• A transcript of your grades from high school, including ACT or SAT scores.
SIGNATURES:
We hereby certify that all information in this application is accurate.
_______________________________________ _______________________________________
Signature of Student Signature of Parent/Guardian
Return complete application and attached documents to your Guidance Counselor at:
Chippewa High School
Guidance Office
100 Valley View Road
Doylestown, OH 44230
The complete application packet must be received by February 29, 2016.
Note: If you are a recipient of this scholarship, through the Wayne County Community Foundation, all monetary awards will be made payable to your account at the post-secondary school you will be or are attending. Unless otherwise stated, checks will be issued in July, prior to the new school year. No checks will be awarded directly to any individuals.
WADSWORTH-RITTMAN HOSPITAL MEDICAL STAFF MEMORIAL SCHOLARSHIP APPLICATION FORM (FOR CHIPPEWA HIGH SCHOOL SENIORS)
Due February 28, 2017
There are two scholarships available. One will be awarded to a Rittman High School senior and one to a Chippewa High School senior who is has a minimum 3.20 GPA, on a 4.00 scale, and be enrolled or enrolling as a full-time student at a four-year educational institution, pursuing a field of study in the medical, nursing, or health services professions.
Please print or type
Name of Student ______________________________________________________________________
Address ______________________________________________________________________________ City/State/Zip Code_____________________________________________________________________ Telephone___________________________ Email Address_____________________________________ High School __________________________________________________________________________ College ______________________________________________________________________________
Planned Major_________________________________________________________________________
FINANCIAL INFORMATION:
1. Names of Parents/Guardians__________________________________________________________
2. Father’s employer and position________________________________________________________
3. Mother’s employer and position________________________________________________________
4. Student’s employer and position_______________________________Hours per Week___________
5. Adjusted gross annual family income: IRS Form 1040 (line 37) ______________; IRS Form 1040A (line 21) ______________; IRS Form 1040EZ (line 4) ______________
6. Number and ages of other dependent children ____________________________________________
7. Number of other family members currently attending college________________________________
8. Estimated market value of parents’ assets (including cash, investments, savings/checking accounts, money market accounts, real estate) ____________________________________________________
9. Estimated market value of student’s assets_______________________________________________
10. Are there any special circumstances, other than family income, that should be considered in evaluating your application (family debts, loss of income, illness, etc.)? If so, please explain _______ _________________________________________________________________________________
11. Have you been notified, or do you anticipate notification, of any scholarships or financial aid awards for the coming academic year? Please list and include the amount.____________________________ _________________________________________________________________________________
WADSWORTH-RITTMAN HOSPITAL MEDICAL STAFF MEMORIAL SCHOLARSHIP APPLICATION FORM (FOR CHIPPEWA HIGH SCHOOL SENIORS)
Due February 28, 2017
Page 2
ALSO INCLUDE:
• A personal letter describing in no more than one page why you should receive the award.
• A transcript of your grades from high school, including ACT or SAT scores.
SIGNATURES: We hereby certify that all information in this application is accurate.
_______________________________________ _______________________________________ Signature of Student Signature of Parent or Guardian
Return complete application and attached documents to your Guidance Counselor at:
Chippewa High School Guidance Office
100 Valley View Road
Doylestown, OH 44230
The complete application packet must be received by February 28, 2017.
Note: If you are a recipient of this scholarship, through the Wayne County Community Foundation, all monetary awards will be made payable to your account at the post-secondary school you will be or are attending. Unless otherwise stated, checks will be issued in July, prior to the new school year. No checks will be awarded directly to any individuals.
-----------------------
[pic]
The Keyes family endowed Scholarship
For Chippewa High School Seniors enrolling at The University of Akron
The Keyes family endowed Scholarship
[Type your address] ( [Type your phone number] ( [Type your e-mail address]
Applicant Information
Applicant’s Background Information
Certification and Signature
All of the information provided on this form is true and complete to the best of my knowledge. This application and/or my academic record may be released if in relation to, receipt of, or application for, scholarship assistance.
[pic]
Yes: ________ No: ________
Signature: ___________________________________________
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