BETA THETA, ESA, Scholarship

CLERMONT, FLORIDA

A deserving high school senior from East Ridge High School,South Lake High School, and Lake Minneola High School will each be awarded $1,500 from Beta Theta to attend Lake Sumter State College.

1.To be eligible, the student must have attended one of the above schools for their entire senior year.

2.Criteria for these scholarships include good character, leadership traits, and a minimum “C” grade point average.

3.The award will be payable to the recipient through Lake Sumter State College.

Please be sure the completed application includes all of the following items:

This cover page with Guidance Date Received noted below

The 2-page application fully completed with appropriate signatures

Twoteacher recommendation forms signed and completed

An updated resume

A 500 word maximum essaycovering and answering these 3 questions:

What are your future educational plans and career goals?

How essential is receiving scholarship money to your ability to attend college?

(This scholarship is funded by local individuals who believe your future is important. If you are chosen, you will benefit from their generosity.)

In what ways will you give back to your community in the future?

The application needs to be submitted to the school’s guidance office by March 30, 2018.

Applicant Information:

Name of High School:
Student’s Full Name:
Street Address:
City: / State: / Zip code:
Home Phone: ( ) - / Cell Phone: ( ) -
Email Address:
Parent/Guardian’s Name:

I have read the information above and wish to apply for a 2018Beta Theta ESA scholarship.

Student’s Signature ______Date______

BETA THETA, ESA, Scholarship

CLERMONT, FLORIDA

APPLICATION(type or print neatly and complete all questions in full)

Applicant’s Name:
First / Middle Initial / Last
Permanent Address:
City / State / Zip
Parent’s
Telephone: / Student’s Date of Birth:
Student’s Telephone: / Student Email:
Parent/Guardian Information / Father/Guardian / Mother/Guardian
Name:
Employer
& Job Title:
Applicant lives with:
(Name) / (Relationship)

Please list any other children in the family:

Name:
Age:
Grade:
Number of children in the family who will be attending college during Fall 2018:
Have you applied for federal financial aid for Fall 2018 using the FAFSA?
( ) Yes / If yes, indicate date applied:
( ) No–but will apply
Explain why you have not applied yet:
( ) Will not apply
Explain why you will not apply:
Has your family established a Florida PrePaid College account for your educational needs? / ( )Yes ( ) No
Other Awards – Please list below the name and amount of any grants or scholarships that you have been awarded for the upcoming 2017-18 school year.
Please describe any extenuating circumstances that would adversely affect your family’s ability to contribute to your college or vocational school expenses:

List all colleges, universities or vocational schools, in order of preferences, where you have filed applications for admission:

College/University/Vocational School / Accepted
Yes / No / Pending
Intended major: / Intended minor:
(optional)
What career do you plan to pursue?
You will be enrolled: / ( ) full time / ( ) part time
List your entire senior class schedule:
2017-2018
Course / Teacher / Course / Teacher

Other classes______

YOUR GUIDANCE COUNSELOR MUST COMPLETE THIS SECTION
BEFORE YOU MAKE COPIES.

Class Rank: ______out of ______Unweighted GPA: ______Weighted GPA: ______
ACT: Eng.______Math ______Read ______Sci ______Total ______Essay ______
SAT: Verbal ______Math ______Total ______

Qualify for / Florida Academic Scholars Award
Florida Medallion Scholars Award
Florida Gold Seal Vocational Scholars Award
Signed by Guidance official:
Date
Parent’s or Guardian’s Signature / Date / Applicant’s Signature / Date

I hereby certify that the information given in this application is accurate and complete to the best of my knowledge. I understand that the selection committees will keep my information confidential. To comply with the provisions of the Family Educational Rights and Privacy Act of 1974, your High School must obtain signed authorization before it can release information for use in scholarship programs. By signing above, you are giving school officials permission to release secondary school records and any other requested information for consideration in scholarship decisions.

BETA THETA, ESA, Scholarship ~ TEACHER RECOMMENDATION FORM

This reference should be given to the teacher well in advance of the due date. Teachers will be filling out many references at this busy scholarship time. Please give a copy of your resume to the teacher. The student is responsible for making additional copies of this recommendation form as needed.

Name of Applicant: ______

FirstLast

Directions: Please check ( ) the appropriate rating below.

Academic Ratings

OutstandingBelow

(top 10%) Good AverageAverage

Motivation

Creative Qualities

Self Discipline

College or Voc. School Readiness

Intellectual Curiosity

Participation in Discussion

Classroom Involvement

Depth of Understanding

Character and Personality Ratings

OutstandingBelow

(top 10%) GoodAverageAverage

Leadership

Self-Confidence

Warmth of Personality

Concern for Others

Personal Responsibility

Contributions to School

Contributions to Community

Overall Character Rating:

How do you know this student? Fill in all that apply:

List subjects in which you taught this student: ______

Counselor______Team Coach______Club Advisor______

Please include a comment about this candidate: ______

______
______

Teachers name:Date:

Signature:Position:

BETA THETA, ESA, Scholarship ~ TEACHER RECOMMENDATION FORM

This reference should be given to the teacher well in advance of the due date. Teachers will be filling out many references at this busy scholarship time. Please give a copy of your resume to the teacher. The student is responsible for making additional copies of this recommendation form as needed.

Name of Applicant: ______

FirstLast

Directions: Please check ( ) the appropriate rating below.

Academic Ratings

Outstanding Below

(top 10%) Good Average Average

Motivation

Creative Qualities

Self Discipline

College or Voc. School Readiness

Intellectual Curiosity

Participation in Discussion

Classroom Involvement

Depth of Understanding

Character and Personality Ratings

Outstanding Below

(top 10%) Good Average Average

Leadership

Self-Confidence

Warmth of Personality

Concern for Others

Personal Responsibility

Contributions to School

Contributions to Community

Overall Character Rating:

How do you know this student? Fill in all that apply:

List subjects in which you taught this student: ______

Counselor______Team Coach______Club Advisor______

Please include a comment about this candidate: ______

______
______

Teachers name:Date:

Signature:Position: