Adnaan Rahman Scholarship

$500 Scholarship

Adnaan Rahman was a student at Waubonsie Valley High School from 2007-2010. He was killed in an auto accident in August of 2010, a few weeks before his senior year would have started. Adnaan was an excellent student and athlete that represented Waubonsie well. He touched many hearts, including his teachers, his friends, and his teammates. He developed friendships surrounding a variety of ethnic backgrounds, religions, and interests. Adnaan took several honors and AP classes, along with playing football and rugby for WVHS. In honor of Adnaan, an academic/athletic scholarship has been established for a current senior who displays many fine attributes Adnaan possessed.

Please complete the following information and supply all materials needed in order to be considered for this scholarship. The criteria for the scholarship will be based on your academic and athletic leadership, along with your community service and recognition of diversity within a community. All of these attributes will be considered in the materials prepared in the application process.

Completed applications are due to Ryan VanKampen in the Guidance Office by the Tuesday, March 1st, 2017. Late applications will not be accepted. Please type or print in ink all information requested. If necessary, use additional paper to answer questions. Clarity and neatness are important.

  1. Name______

LastFirstMiddle

  1. Home Address______

Number/StreetCityZip Code

  1. Phone Number-Home______
  1. Full name of parent or guardian______
  1. Your accumulative grade average is______/4.0 GPA
  1. What school, college, or university do you plan to attend?

______

Name of institutionCity/StateZip

  1. What courses of study do you plan to pursue?______
  1. Describe your educational and career goals and how you expect to achieve them.

______

  1. Please describe one activity or leadership position that best demonstrates your leadership experience.______
  1. Describe one activity that demonstrates your largest contribution to school service.______
  1. Describe one athletic activity that demonstrates your contribution and leadership within a particular sport.______
  1. Please add any other information or comments you wish to include that will assist the scholarship committee in differentiating you from your peers. ______
  1. Names of two individuals submitting a Recommendation Form.

Name______Position______

Name______Position______

Signature of Applicant______date______

Recommendation Form

This section is to be completed by the applicant before the form is given to the writer of recommendation.

Name of Applicant:______Telephone Number______

Address______

This section is to be completed by writer of recommendation. Please rate the applicant in the following areas compared to other high school students.

Upper 5% / Upper10% / Upper25% / Upper 50% / Lower 50%
Leadership /  /  /  /  / 
Attitude /  /  /  /  / 
Effort /  /  /  /  / 
Maturity /  /  /  /  / 
Enthusiasm /  /  /  /  / 
Initiative /  /  /  /  / 
Emotional Stability /  /  /  /  / 

Please provide any information that will be helpful in selecting this applicant. Include your relationship and the length of time you have known this applicant. Identify how the applicant exemplifies the attitudes and efforts of Adnaan Rahman.

Signature of Individual Completing the Recommendation Form

Printed Name______Signature______

Position______Telephone______

Address______

Date______

**This form is to remain confidential from the applicant and should be submitted to Ryan VanKampen in the Guidance office by the individual that completes the form.

Recommendation Form

This section is to be completed by the applicant before the form is given to the writer of recommendation.

Name of Applicant:______Telephone Number______

Address______

This section is to be completed by writer of recommendation. Please rate the applicant in the following areas compared to other high school students.

Upper 5% / Upper10% / Upper25% / Upper 50% / Lower 50%
Leadership /  /  /  /  / 
Attitude /  /  /  /  / 
Effort /  /  /  /  / 
Maturity /  /  /  /  / 
Enthusiasm /  /  /  /  / 
Initiative /  /  /  /  / 
Emotional Stability /  /  /  /  / 

Please provide any information that will be helpful in selecting this applicant. Include your relationship and the length of time you have known this applicant. Identify how the applicant exemplifies the attitudes and efforts of Adnaan Rahman.

Signature of Individual Completing the Recommendation Form

Printed Name______Signature______

Position______Telephone______

Address______

Date______

**This form is to remain confidential from the applicant and should be submitted to Ryan VanKampen in the Guidance office by the individual that completes the form.