2011 Northwood-Kensett Scholarship Application

2011 NORTHWOOD-KENSETT SCHOLARSHIP APPLICATION

ALL APPLICATION MUST BE TYPED OR DONE ON COMPUTER

The following Scholarships are awarded from this single scholarship application. Please indicate for which scholarship/s you are completing this application.

__ Hellen Holstad Scholarship __ Reuben & Helen Cornelius Scholarship

__ Gilbert Charles Stevens Scholarship __ Esther Losee Scholarship

__ Richard Moen Scholarship__ Dustin Colby Memorial Scholarship

__ Carrie & Oren Igou Scholarship__ Sidney Swensrud Scholarship

__ Sadie Boysen Scholarships __ Don Janssen Scholarship

__ Truman and Lorraine Julseth Scholarship

Name in full:

Last First Middle

Home Address:

Street or box City State Zip

Date of Birth:Home Phone:

Mother:Occupation:

Father: Occupation:

ACT or SAT Score: Class Rank: Cum GPA:

Major High School activities in which you have been involved:

Name of Activity # of Years Special Rewards/Recognition

1.

2.

3.

4.

5.

Community/Church Activities:

Employment:

Employer Period of Employment Hours/Week

1.

2.

EDUCATION AND CAREER GOALS

Which post-secondary training institution do you plan to attend?

Please identify your major area of training and the occupation you will enter.

Please list other institutions where you have you been accepted.

How will your post-secondary training help you to reach your career goal?

EXPECTED ANNUAL EXPENSES: FINANCING:

Tuition & Fees: Personal/Family Contributions:

Room & Board: Scholarships

(List name & amount):

Books & Personal

Expenses:Total Value Scholarships:

Total Estimated Annual Budget: Grants:

Loans:

Work-study:

Other:

Total Financing:

List high school courses taken for college preparation:

List PSEO courses taken:

List AP courses taken:

Have you ever been found to be in violation of the Good Conduct Policy?

If your answer is yes an explanation would be appreciated but is not mandatory.

All information provided here is correct to the best of my knowledge. (All questions must be answered and this form must be signed before you will be considered for a local scholarship award.)

Signature of Student ______Date ______

***REQUIRED***

SCHOLARSHIP ESSAY QUESTION

Choose one of the PACE traits (respect, responsibility, persistence, self-reliance, and honesty). Considering the school definitions, give specific examples of how you have demonstrated that trait as a N-K student.

(Please limit your response to a single page.)

Respect

Show consideration for self, others and property in all you say and do.

Responsibility

Be dependable and reliable… Do your part without being told.

Honesty

Be truthful in all you say and do.

Persistence

Keep trying. Don’t give up… get help.

Self Reliance

Take care of yourself. Accept your mistakes and learn from them. Take every opportunity to become the person you want to be.