FirstName / LastName / HomePhone
HomeAddress / City / State / Zip Code
Countyof Residence / Gender / SchoolName
Email Address
SECTIONTWO:STUDENT CERTIFICATIONPleaseRespondtoAllQuestions
1.Iwillbeafull‐timecollegestudentinFallof2018.YESNO
2.AtthetimeofapplicationIamcurrentlya:HighSchoolSeniorCollegeSophomore
CollegeFreshmanCollegeJunior
3.Iintendtoreceivemydegreefroma:
4.ThehighestundergraduatedegreeIintendtoTwoYearDegreeVoc./TechDegree
seek:
FourYearDegree
5.Iintendformymajorfieldofstudytobe:
6.ThecollegeIplantoattendinFall2018:
SECTIONTHREE:REQUIREDFORALLSCHOLARSHIPSPleaseProvideAllInformation
“Iherebycertifythatallacademicinformationsubmittedonthisapplicationbytheapplicantistrueandcorrecttothebestofmyknowledge.”
HighSchoolPrincipal/GuidanceCounselorNameHighSchoolPrincipal/GuidanceCounselorSignature
(PleasePrint)(Required)
"Icertifythattheinformationonthisapplicationistruecorrecttothebestofmyknowledgeasevidencedbythesesignatures.IunderstandthatallinformationcontainedonthisapplicationissubjecttoverificationbytheMonroeCountyRepublicanScholarshipCommitteeandthatfalseinformationwillleadtodisqualification."
ApplicantSignatureDate
Parent/GuardianSignatureDate
(Parent/Guardiansignaturerequiredonly ifapplicantisunder 21 orclaimed asa dependent.)
(*Collegeapplicants donot needprincipal/guidance counselor signatures.)
SECTIONFOUR:ACADEMICACHIEVEMENT(10PointsPossible)
Rank:Thisapplicant’sclassrankisinaseniorclassofstudents.
GPA:CumulativeGPAofona4.0scale.
SECTIONFIVE:SCHOOLACTIVITIES(10PointsPossible)
Activity(oneperline)Year
1
2
3
4
5
6
SECTIONSIX:COMMUNITYACTIVITIES(10PointsPossible)
Activity(oneperline)Year
1
2
3
4
5
6
SECTIONSEVEN:STUDENTCERTIFICATION(20PointsPossible)
1.IattendedaRepublicandinner or walkedinaparade for the Republican Party or a Republican candidate.
2.IhavevolunteeredtoworkforaRepublicancandidateorparty. / YESNO
YESNO
*Ifyes,pleaseprovideareferenceandcontactinfo:
SECTIONEIGHT:ESSAY(60PointsPossible)
Pleaseanswerthefollowingquestionin350wordsorless.Submissionsmustfollowallrules.
Describe the difference between conservative ideals and liberal ideals. Then state which ideal best describes you and why those ideals are important to you.
SECTIONNINE:RULES ANDGENERALINFORMATION
1.TheMonroeCountyRepublicanCentralCommitteeScholarshipisopentoallMonroeCountyresidentswhoarehighschoolseniorsorfull‐timeundergraduatecollegestudents.
2.Studentsmaybeenrolledinpublic,private,religious,orhomeschools.
3.AllentriesmustbesubmittedbeforeFriday March 16, 2018.Onlyentriessubmittedduringthistimeshallbeaccepted.
4.Applicationmaterialsconsistofaninformationalapplication,typewrittenessay,andanofficialtranscript.Theessayshallbe350wordsorless.
Thetopicoftheessayis:Describe the difference between conservative ideals and liberal ideals. Then state which
ideal best describes you and why those ideals are important to you.
5.AllentriesshallbeaddressedtoScholarshipEntry,MonroeCountyRepublicansScholarshipCommittee, and P.O.Box161,Waterloo,IL62298.Onlytypedentrieswillbeaccepted.
6.Theentryshallbethesole,originalworkoftheapplicant.
7.Qualifiedessaysshallbejudgedaccordingtothefollowingcriteria:
a.Developmentandaccuracyofcontent
b.Useofcreative,unique,andthought‐provokingelements
c.Adherencetothetopic
d.Properspellingandgrammar
8.Noentrysubmittedwillbereturned.
9.Onlyoneentryshallbejudgedfromeachapplicant.Multipleentrieswillnotbeaccepted.Onlythefirstentry(inthecaseofmultipleentries)receivedfromanapplicantwillbereviewed.
10.TheapplicantgrantstheMonroeCountyRepublicanCentralCommitteefirstpublicationrightsofhis/heressay.Afterpublicationortwelvemonthsafterthewinnersareannounced,allrightsreverttotheauthor.
11.Applicantswillinitiallybejudgedbaseduponacombinationoftheiressayandtheirregistrationmaterials.Allinitialentrieswillbejudgedbaseduponananonymousbasis.Amaximumofthetopfive(5)applicantswillberequestedtoattendaninterviewbeforethescholarshipcommittee.
12.Two applicantswillbeawardeda$1000 scholarship for those pursuing a 2 year or 4 year degree. One applicant pursuing a vocational degree will be awarded a $750 scholarship.
13.ApplicantsandtheirfamilyshouldbeabletoattendthepresentationeventonApril12, 2018 wherethewinner willbeannounced.Thiseventwillbeatthe‘Heckerdome’inHecker.
14.Entrantsmustsubmitacompletedapplicationform,typewrittenessay,andanofficialtranscripttobeconsidered.
ATTENTION:Monroe County Students!
WHAT:Applications are nowavailable forthe 2018 Monroe County Central CommitteeScholarship.
ELIGIBILITY: Monroe County residentswho are highschoolseniors orfull‐time college undergraduatesenrolledin public,private, religious, orhomeschools andare UnitedStatesCitizens.
AMOUNT:Two ‐ $1000 2 year/4 year Degree Scholarships
One - $750 Vocational Degree Scholarship
DEADLINE:All submissionsmust bepost marked byFriday March 16, 2018.
MAILAPPLICATION TO:
ScholarshipEntry
MonroeCountyRepublicansScholarship Committee
P.O.Box 161, Waterloo,Illinois 62298
SEE ATTACHEDRULES APPLICATION FOR FURTHER DETAILS!
Monroe County G.O.P. Monroe County Young RepublicansPartners in Shaping America’s Future...Today!