CROFTON VOLUNTEER AMBULANCE SQUAD

P.O. Box 177

Crofton, NE 68730

PAT BERAN MEMORIAL SCHOLARSHIP

The Crofton Volunteer Ambulance Squad will off the Pat Beran Memorial Scholarship of $300 to a graduating senior of the Crofton Community High School.

We wish to emphasize that this scholarship is not limited to those students who will be attending a four-year college program. We encourage all students who will be attending any type of post secondary education program to apply for this scholarship, including those who are planning to attend a trade, technical or private career school.

Accordingly, the Crofton Volunteer Ambulance Squad Committee has set very broad guidelines for eligibility to increase the number of students who may be considered for this scholarship. The eligibility requirements are as follows:

  1. This scholarship is available to students entering any type of post high school training including a 4 year college, technical training, business school or specialized training school.
  2. This scholarship will be payable to the recipient at the time of their registration for 2nd semester classes. Students should notify Vonda Lange (388-4101.)
  3. Applications must be submitted on or before April 2nd
  4. At least one personal and one academic reference must be attached and contain the following information:
  • Academic reference should relate to academic or technical achievements in the classroom and writer’s belief in the student’s ability to success in your chosen endeavor.
  • Personal references should contain information on student’s personality, leadership and character.
  1. Attach a senior picture to the scholarship application.
  2. Either submit the application to the Guidance Office or take/mail to Katie Tramp at:

PAT BERAN MEMORIAL SCHOLARSHIP

c/o Katie Tramp, Crofton Rescue Squad Captain

55225 891st Rd.

Crofton, NE 68730

Or mail to:Crofton Rescue Squad

P.O. Box 177

Crofton, NE 68730

CROFTON VOLUNTEER AMBULANCE SQUAD

P.O. Box 177

Crofton, NE 68730

PAT BERAN MEMORIAL SCHOLARSHIP APPLICATION

Name and address of applicant:

Name of parents and their address:

Name of school you plan to attend:

Rank in Class: Junior and Senior year grade point average:

What will be your major area of study?

List the names of individuals (not related to you) who are giving reference for you. Attach their comments to this application.

ACADEMIC REFERENCEPERSONAL REFERENCE

______

On a separate piece of paper, please give a personal explanation of your goals in life.

Please also include why you feel you should be selected for this scholarship.

In the space provided below, give a summary of both non-school and school-related activities that you have been involved in during your high school years.

PAT BERAN MEMORIAL SCHOLARSHIP

ACADEMIC REFERENCE

Name of student:

Name of reference:

Please rate this student in the areas listed below with 5 equaling the highest rating and 1 equaling the lowest rating:

HighestLowest

1. Study Habits54321

2. Works to his/her ability54321

3. Approach to learning54321

4. Dedication to work/study54321

5. Ability to succeed in chosen field54321

Please make any pertinent additional comments below:

PAT BERAN MEMORIAL SCHOLARSHIP

PERSONAL REFERENCE

Name of student:

Name of reference:

Please rate this student in the areas listed below with 5 equaling the highest rating and 1 equaling the lowest rating:

HighestLowest

1. Character 54321

2. Leadership Ability54321

3. Maturity54321

4. Personality54321

5. Contributions to Others54321

(School/Community)

Please make any pertinent additional comments below.