Stella S. Gilb Scholarship Application

KAPOS

Stella S. Gilb Scholarship Application

General Information

KAPOS is extremely proud of its annual Stella S. Gilb Scholarship program. Each applicant must show evidence of outstanding academic ability and leadership. To qualify for this honor scholarship, the applicant must: (1) be a senior cheerleader; (2) have cheered on a varsity team for at least two years; and (3) be a member of good standing in KAPOS.

Scholarship Eligibility and Procedure

Applicants must follow all instructions and provide all requested information to ensure full consideration by the KAPOS Scholarship Committee. All information will remain confidential.

*Complete all portions of this application - preferably typewritten or in blue/black ink.

*Take the ACT (score at least 25) or the SAT (combined score of 1150).

*Applicant should rank in top 15% of his/her graduating class.

*Obtain letters of recommendation from his/her cheerleader coach and Principal. The character of the applicant must be above reproach.

*High School Counselor should complete Section V of the application.

*Submit completed application, transcript, test results, letters of recommendation, and essay by March15. Applications received after deadline or incomplete applications will not be considered. Return applications to:

Lucy Moore, KAPOS President

483 Scaggs Road

Morehead, KY 40351

*Submit a photograph with application.

*Attach a 200-word essay, “What Lessons in Life I’ve Learned From Cheerleading.”

*DEADLINE: March15

KAPOS

Stella S. Gilb Scholarship Application

I. PERSONAL INFORMATION

*Name ______Sex ______

(Last) (First) (Middle)

*Address ______

(Street & #) (City) (Zip)

*Home Phone: ( ) ______

*Name and Address of Local Newspaper and TV Station:______

______

*How long have you been a varsity cheerleader?

____ One Year ____ Two Years ____Three Years ____ Four Years

II. EDUCATION INFORMATION

*High School ______Graduation Date ______

*List any special recognitions or honors received in high school:

______

*List your most significant extra-curricular school activities and any non-school activities:

______

III. COLLEGE PLANS

*Which college/university do you plan to attend? ______

*When do you plan to enroll? ______

*List any other scholarships you have applied for or received:

IV. INFORMATION CONCERNING FAMILY, INCOME , AND RESOURCES

*Father’s Name ______Living ( ) Deceased ( )

Name of Employer: ______

Nature of Business: ______

Position Held: ______

*Mother’s Name ______Living ( ) Deceased ( )

Name of Employer: ______

*Number of children in addition to applicant: ______

____Pre-School ____ Elementary ____ High School ____ College

If in college, where? ______

Financially independent, married, etc. ______

INCOME INFORMATION

*Approximate annual income of family before taxes including wages, profits, dividends, interest, etc. Please check one:

_____ $10,000. or less

_____ $ 10,000 to $20,000

_____ $ 20,000 to $30,000

_____ $ 30,000 to $40,000

_____ $ 40,000 to $50,000

_____ $ 50,000 and above

*Amount of Federal Income Tax paid during the past year: ______

*Total number of exemptions claimed ______

*If you wish, list any outstanding indebtedness, giving the nature of the indebtedness, such as home, auto, etc. ______

______

*State below any other pertinent information concerning financial assets, obligations, etc. that would be helpful in considering your application: ______

______

*State below as specifically as possible how you plan to finance your freshman year including loans, part-time work, summer employment, etc.

*Proposed Budget: Estimate as accurately as possible your expenses for the academic year. Estimate for the same period the resources you expect to have to meet these expenses.

EXPENSES

Tuition / Required Fees$ ______

Books / Supplies$ ______

Room / Board$ ______

Clothing$ ______

Personal and Recreation$ ______

Meals / Travel (commuters)$ ______

TOTAL$ ______

INCOME

KEES Scholarship Money$ ______

Personal Savings$ ______

Earnings during Summer$ ______

Part-time school year earnings$ ______

Aid from parents/guardian$ ______

Scholarships$ ______

Loans$ ______

Veteran’s Benefits$ ______

Other Resources$ ______

TOTAL$ ______

______

Signature of Applicant

KENTUCKY ASSOCIATION OF PEP ORGANIZATION SPONSORS

STELLA S. GILB SCHOLARSHIP

Deadline: March 15

This Section Must be Completed by High School Counselor

Applicant’s Name ______

*Total Number in Applicant’s Graduating Class ______

*Applicant’s Rank in Class______

*ACT Test Scores

______

English Math Reading Science Composite

*SAT Test Scores

______

Verbal Math Combined

*Cumulative Grade Point Average (7 semesters):

unweighted ______

weighted ______

*Briefly provide any additional information you would like as to whether or not you feel the above-named applicant should receive this KAPOS Scholarship. If you would prefer, this page and an official high school transcript for the applicant may be mailed to:

Lucy Moore, KAPOS President

483 Scaggs Road

Morehead, KY 40351

______

Counselor’s Signature