April

AMERICAN FAMILY INSURANCE PROGRAM

Scholarship Program

This scholarship program was established by American Family Insurance Company to recognize a graduating senior from each St. Joseph High School who exemplifies a sound scholastic and social standard of excellence. American Family Insurance Company recognizes the value of education and its major impact on individuals and community. This high regard for education, the community and youth has resulted in American Family Insurance Company establishing this scholarship program. Funding for this scholarship has been made possible through the generosity of American Family Insurance Company.

The scholarship recipients will be selected annually with no renewal rights. Grants will be made irrespective of sex, religion or ethnic origin and will be given to students whose parents or guardians are not financially able to totally provide for their education at some established college or university.

Undergraduate Scholarship

Scholarships awarded through this program will be for undergraduate students seeking a

baccalaureate degree in accredited college/university.

Eligibility Standards

Applicants must meet the following standards to qualify as a scholarship recipient:

1)   Be a graduating senior of a St. Joseph High School.

2)   Rank in the top 25% of their graduating class.

3)   Score at or above the State of Missouri average on the ACT or SAT.

4)   Have participated in a variety of activities at their respective high school or in the community.

5)   Demonstrate financial need (not already awarded a significant amount of financial aid or scholarships).

Application Procedures

The student must fill out an American Family Insurance Scholarship Form and submit it to the

counselor by the announced deadline (usually middle to late April). Application forms are available

in each high school counseling center.

Procedures for Selection

Applications will be collected by the respective high school counselors and submitted to the St.

Joseph School Board’s Scholarship Committee (turned in to the Scholarship Coordinator). The

Scholarship Committee will select one recipient from each of the four high schools in the St.

Joseph area. The district Scholarship Coordinator will notify the American Family Insurance

Company’s Regional Personnel Manager of the recipients. The scholarship total will be

forwarded to the St. Joseph School District from the American Family Insurance Company.

Checks will be issued to each recipient and their designated college or university by the St.

Joseph School District at the rate of $500 per semester, for one year, providing the recipient

is enrolled as a full-time student (12 or more hours).

AMERICAN FAMILY INSURANCE COMPANY $1,000 SCHOLARSHIP

APPLICATION FOR SCHOLARSHIP

Name of Applicant:

Last First Middle Date of Birth

Address

Telephone No. Marital Status Sex

Parent/Guardian

1.   Name and address of grade school, middle school, and high school attended and date of attendance.

Attendance Dates

Name of School Address From To

2.   Name of college or university you expect to attend

3.   Number of students in high school graduation class

Applicant’s Rank

4.   Give GPA based on point system

5.   ACT or SAT Score Percentile Rank

6.   List any honors and distinctions:


7. List major school activities in which you have participated.

8.   List church and community activities in which you have participated.

9.   List the names and addresses of three people (not related to you) which would recommend

you to the scholarship committee.

Names Addresses

10. Financial data:

Father Mother

Approximate annual income

Place of employment

Family assets (House, car, savings, cash, etc.)

Family Liabilities (mortgages, debts, accounts, payable, etc.)

Extraordinary expenses in last several years:

Dependents: (list names)

I hereby certify that the above statement of information is correct to the best of my knowledge and belief.

Date Signature of Applicant