John and Alyce Wozab Memorial Fund Scholarship

Application Form

Academic Year: ______

Application Deadline: MARCH 13

Name: ______

Last/First/Middle

Permanent Address: ______

Street or PO Box, City, State Zip

Phone #: ______Email: ______

Name of College/University/Institution/Program in which you plan to enroll or are currently enrolled:
College/Program City/State
Highest Educational Attainment Achieved:
Institution Level (HS, Associates, Bachelors, etc.) City/State Years attended

Work/Volunteer Experience:

______
______
______

Leadership Positions Held:

Have you received or will you receive other scholarships?______

If yes, list name(s) & amount(s)?

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______
______

How do you plan to finance your education?______

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______
______

What is your intended field of study/major?______

John & Alyce Wozab Memorial Fund Scholarship

Scholarship

Scholarships will be awarded to residents of Valley County Nebraska. Suggested preference will be given to residents who are interested in gaining professional accreditation within the identified areas.

·  HVAC Technician
·  Machinist
·  Appliance repair
·  Plumber
·  Construction (contractors, carpenters, landscape designers, etc.)
·  Heavy equipment operator
·  Legal aide
·  Culinary art
·  Health Care / ·  Electrician
·  Ag Equipment Technician (pivot, tractor, diesel, etc.)
·  Welder
·  Automotive Technician
·  Skilled manufacturing
·  Law enforcement
·  Administrative assistant
·  Information technology

Preference will also be given to those applicants expressing a strong desire to stay within Valley County Nebraska after receiving accreditation.

Eligibility & Requirements

1.  The applicant must have a high school diploma or its equivalent and be a resident of Valley County Nebraska for 4 years.

2.  The applicant must attend an accredited college, community college, vocational school, or professional certification program.

3.  The applicant must submit an application by the Scholarship Application deadline (March 13).

4.  Applicant shall prepare an essay which describes briefly their proposed or current field of study, their reason for selecting this course, and their plans for using their education to benefit Valley County and improve the community.

5.  Selection Committee reserves the right to interview eligible applicants.

Loss of Scholarship

The student may lose the scholarship or be ineligible for renewal if he/she fails to complete their first year, fails to maintain a grade point average of “C” or 2.0, changes their major or field of study, or demonstrates a lack of commitment to staying/returning to Valley County Nebraska upon completion of their studies.
Personal Essay

John and Alyce Wozab desired to invest in the future of Valley County and improve the quality of life across the entire county. The Wozab Fund Supervisory Committee believes strategically made scholarships to non-traditional students in key areas will both improve the quality of life and also grow the economy of the whole county.
Briefly describe your proposed field of study or certification, your reason for selecting this field, and your plans for using your education in Valley County.
I declare that this essay is my own work, reflects my sincere desire to remain in/return to Valley County Nebraska and that all the information in my application is, to the best of my knowledge, correct.
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(Applicant’s Signature) (Date)

Please submit your application to: