Cedar Security Bank
Scholarship Application Cover Sheet
Deadline: April 1, 2017
This is a $250 scholarship available through Cedar Security Bank for high school seniors planning on attending an accredited college or university. Applicants (or their parents/legal guardians) must maintain a Checking, Savings, Loan, or CD account at Cedar Security Bank – Fordyce, Hartington, or Wynot – to be eligible for consideration. ONE scholarship will be awarded each year.
Name: ______
Address: ______
City: ______
State: ______
How many years have you attended Crofton Community Schools?
What classes have you most enjoyed?
What career do you plan to pursue?
What are some of your hobbies and interests?
What post-secondary school are you planning to attend?
Class Rank:
GPA on a 4 pt. scale:
List Scholarships you have already been awarded:
State why you would be a good candidate for this scholarship.
Discuss your career objectives and where and why you plan to continue your education.
What do you feel are your major strengths and weaknesses?
Based on the attached charts, tell us about your activities both in school and in our community. This should also include employment information. What have you learned from these experiences?
All information on this application is complete, true and accurate. I understand that any information given falsely or withheld may make me ineligible to receive this scholarship award. Further, should I change my decision to attend college or withdraw within the first month of college, I will return the scholarship money to Cedar Security Bank.
Student Signature: ______Date: ______
School and Community Activities: Job Experience
Fine Arts / 9 / 10 / 11 / 12 / Honors and Awards; Leadership PositionsJazz Band / / / /
Pep Band / / / /
All State Band / / / /
Mixed Chorus / / / /
Girl’s/Boys Glee / / / /
Swing Choir / / / /
Small Band Groups / / / /
Small Vocal Groups / / / /
Community Musical/Play / / / /
Solo at District / / / /
Solo at Conference / / / /
Play/Musical / / / /
One Act Play / / / /
Speech / / / /
All School Play / / / /
Other / / / /
Other / / / /
Other / / / /
Organizations / 9 / 10 / 11 / 12 / Honors and Awards; Leadership Positions
Student Council / / / /
Study Buddies/Tutor / / / /
Class Officer / / / /
National Honor Society / / / /
Honor Roll / / / /
Annual / / / /
Cheerleading/Dance / / / /
Church Youth Group / / / /
Journalism / / / /
Jr. Legion Auxiliary / / / /
NLS / / / /
Jr. Law Cadet / / / /
Boys’/Girls’ State / / / /
Quiz Bowl / / / /
4-H / / / /
LEAP / / / /
FCCLA / / / /
Conference Art Award / / / /
Knox County Fair
Art Award Recipient / / / /
FFA / / / /
FFA Officer / / / /
FFA CDE/LSE / / / /
FFA Proficiency / / / /
Other / / / /
Other / / / /
Athletics / 9 / 10 / 11 / 12 / Honors and Awards; Leadership Positions
Volleyball / / / /
Football / / / /
Basketball / / / /
Track / / / /
Baseball / / / /
Softball / / / /
Golf / / / /
Cross Country / / / /
All Conference / / / /
All State / / / /
Athletic Manager / / / /
Other / / / /
Volunteer Activities / 9 / 10 / 11 / 12 / Number of Hours / Dates / Description and Honors/Awards
Community Clean-Up / / / /
Sunday School/ CCD / / / /
Teacher’s Aide / / / /
Nursing Home / / / /
Blood Drive / / / /
Library / / / /
Other / / / /
Other / / / /
Other / / / /
Job Experience/Employer / Hours per Week / Dates / Job Duties and Any Awards