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.

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[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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