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Deadline: Monday, March 9 at 8:15 a.m. to HS Guidance Office
NEW BREMEN EDUCATION FOUNDATION
Scholarship Application
Part I
Name
Address
Age Date of Birth Telephone
Parent's Name
Number of brothers and sisters living at home
GPA Class Rank in a class of
Name of college, university or technical school you plan to attend:
Major Field of Study:
How serious are you about obtaining a degree in this specific field of study? Please explain.
Please describe your educational plans as they relate to your career objective and goals.
Part II
The above named applicant is applying for the scholarships indicated below, as well as any additional scholarships in which he/she meets the specified requirements.
Please check those scholarships that apply to you. The requirements are mentioned behind each scholarship name in parenthesis.
|N-B Education Foundation Related Scholarship Info: |
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| | | | |Tender Loving Care OCCL and New Bremen Pumpkin Growers Scholarship (Child or |
| | | | |Grandchild of Active Member of Tender Loving Care – OCCL) Member’s Name |
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| | | | |NB/ NK Rotary WSU-Lake (Strong Community Service/ Must attend WSU-LC/ Pref. |
| | | | |to Student w/ Relative in Rotary) Member’s Name |
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| | | | |NB/ NK Rotary OSU Lima Match Scholarship (Must attend OSU Lima/ Pref. to |
| | | | |Student w/ Relative in Rotary) Member’s Name |
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| | | | |NB/ NK Rotary (Scholastic Achievement/ Community Service/ Pref. to student |
| | | | |with relative in Rotary; Member’s Name |
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| | | | |Do you plan to start by obtaining a technical degree or certificate only? |
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Part III.
I have participated in the following extracurricular activities while a student at New Bremen High School:
Hrs. Per Hrs. Per
Week or Year Week or Year (please indicate which) (please indicate which)
(During Season)
Band 9 10 11 12 Football 9 10 11 12
Flag Corp 9 10 11 12 Cross Country 9 10 11 12
Pep Band 9 10 11 12 Volleyball 9 10 11 12
Choir 9 10 11 12 Golf 9 10 11 12
FFA 9 10 11 12 Basketball 9 10 11 12
FCCLA 9 10 11 12 Swimming 9 10 11 12
Yearbook 9 10 11 12 Baseball 9 10 11 12
Student Council 9 10 11 12 Softball 9 10 11 12
Class Officer 9 10 11 12 Track 9 10 11 12
Scholastic Team 9 10 11 12 Cheerleader 9 10 11 12
NHS 9 10 11 12 Athletic Manager 9 10 11 12
Drama Club 9 10 11 12 Athletic Trainer 9 10 11 12
Cafeteria Asst. 9 10 11 12 Athletic Statistician 9 10 11 12
Spanish Club 9 10 11 12 9 10 11 12
Student Aide 9 10 11 12 9 10 11 12
Magnified Giving9 10 11 12 9 10 11 12
Jr District Leadership9 10 11 12 9 10 11 12
I have participated in the following community activities:
Hrs. Per Hrs. Per
Week or Year Week or Year
(please indicate which) (please indicate which)
9 10 11 12 9 10 11 12
9 10 11 12 9 10 11 12
9 10 11 12 9 10 11 12
9 10 11 12 9 10 11 12
Please list the offices/leadership positions you have held (from school and community activities):
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Please list any honors or awards received (from school and community activities):
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Please list your current class schedule:
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Please list your work experience. Please include where and when you were employed, your position, the number of hours per week you have averaged, and why (if applicable) your employment ended.
(Example:. Wendy’s - January 2019 to March 2020 - Cashier - 10 hours per week - Track Season Began)
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Do you plan on working while you are attending college?
Part IV
1. Please describe a personal project or team objective that you accomplished and what you learned from it.
2. Please explain why you believe you are a deserving candidate for a scholarship.
3. What are your anticipated expenses for college?
|Annual Tuition (tuition per |Housing Costs (Room) |Meal Plan (Board) |Books & Supplies |Other |
|year) | | | | |
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4. Why did you choose this college?
Part V
Have you filed a state or federal financial aid form?
Are you receiving any scholarships, tuition equalization, grant money, etc. from any other sources?
If so, please list:
Scholarship / Grant Amount
| |$ |
| |$ |
NOTE: A transcript will be added to this application for review by the selection committee.
I hereby certify that the information submitted in this application is true, correct, and complete to the best of my knowledge. I authorize the New Bremen Local Schools and the New Bremen Education Foundation to release information contained in this application (including academic records and biographical information) to the awarding scholarship committee and agencies/donors providing for this scholarship. I understand the names or scholarship award recipients may be published in area newspapers.
The applicant further acknowledges that the scholarship applications received could greatly exceed the amount of available funding. I understand that filling out the application form does not guarantee that I will receive any scholarships and/or grants.
I hereby further certify that I have attended New Bremen Local Schools for ________ (K-12) years. I acknowledge that if I have not attended New Bremen Local Schools for more than two (2) years that I may not be eligible and/or may not be considered for scholarship awards or grants exceeding $1,000.00 per year.
I hereby certify that I am eighteen years of age.
____________________________________ ___________________________
Applicant Date
If applicant is under the age of eighteen years of age, application shall also be signed by Parent/Guardian.
____________________________________ ____________________________
Parent/Guardian Date
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