Franklin County Community Foundation, Inc. Scholarship Application
THIS APPLICATION MUST BE TYPED.
Name: ______
Email Address: ______
Street Address: ______
City: ______State: ______Zip: ______
Telephone Number: (home)______(cell)______
Parent Name: ______Occupation: ______
Parent Name: ______Occupation: ______
Guardian: ______Occupation: ______
To be considered for the Franklin County Community Foundation, Inc. scholarships, mail or drop off the complete application package to: FCCF, 527 Main Street, Brookville, IN 47012 (applications will not be accepted electronically).
PACKAGE INSTRUCTIONS - Please use paper clips……..NO STAPLES.
The application package should include:
- Two complete printed applications (including any attachments). If your applicant appraisals and/or transcripts are being delivered separately to the FCCF office or if given to you in a sealed envelope, we will make an additional copy for you.
Applications must be received at the FCCF office by 4:00 PM on Thursday, March 1, 2018. Applications received after this date will not be considered. Please be certain all questions are answered completely or this application will not be considered.
For information about FCCF scholarships, call the Franklin County Community Foundation at: (765) 647-6810 or
e-mail: .
Applicants must attend an accredited college or university as a full-time student. For the class of 2018 the following will be awarded. Please carefully read the scholarships’ criteria below and place a check in front of all the scholarships for which you qualify. For more information call the FCCF at 765-647-6810 or email .
Scholarships For Applicants who attend Franklin County High School
_____ JOE BACHUS MEMORIAL SOCCER SCHOLARSHIP -Criteria: Participated at least 2 years in the boys’ soccer program, one year as a senior. Must have a positive attitude, be a hard worker and love the game of soccer. What years were you involved in the FCHS boys’ soccer program? ______Reminder: one of your Applicant Appraisals (see page 10) must be from a coach or other adult who is involved in the soccer program.
_____REBECCA BAKER MEMORIAL SCHOLARSHIP – Criteria: Any FCHS Senior.
_____ JOSEPHD. CODIANO MEMORIAL SCHOLARSHIP - Criteria: Participated as a player in a high school varsity sport or sports during the student’s senior year. Student should demonstrate a positive attitude. Ask a high school coach or athletic director to complete the form attached to this application (see page 11). What high school sport(s) did you participate in and during what years? ______
______
______
_____RICHARD M. DIETZ MEMORIAL SCHOLARSHIP - Criteria: Primary Consideration: Student who excels in math or science planning to study in the areas of math, science or education. What is your area of study? ______
______
_____ JUSTINGIRDLER MEMORIAL SCHOLARSHIP - Criteria: Trade or vocational student planning to study in the area of carpentry, welding, masonry or other technical-related field. What is your area of study? ______
_____MAXWELL JAMES GRIMMEISSEN MEMORIAL SCHOLARSHIP - Criteria: Any FCHS Senior.
_____ NANCYA. HAMILTON MEMORIAL SCHOLARSHIP - Criteria: Planning to study education, first generation college students, excel in English, literature and language arts.
_____VICTOR F. HAUBERG SCHOLARSHIP - Criteria: Any FCHS Senior.
_____BRADLEYT. HOFER MEMORIAL AGRICULTURE SCHOLARSHIP - Criteria: Involvement in the Agriculture Program and planning to continue education in an agricultural related field. What years were you involved in the FCHS Agriculture Program? ______
_____DONALDM. JOBE SCHOLARSHIP - Criteria: Planning to study in the area of education with the intention of becoming a teacher.
_____ BLAKE E. “BRENNON” KAYLOR MEMORIAL SCHOLARSHIP - Criteria: Graduate of Mt. Carmel Elementary School and has excelled in mathematics. Did you graduate from Mt. Carmel Elementary School? ______How many years did you attend Mt. Carmel? ______What is your favorite mathematics subject and
why? ______
______
______
_____ORBIN & MAYMIE KELLY SCHOLARSHIP - Criteria: Planning to study in the area of education or nursing.
_____KYLE JORDAN KERR MEMORIAL SCHOLARSHIP - Criteria: Attended Mt. CarmelSchool and is currently involved in 4-H. What years did you attend Mt. Carmel School?______
List the 4-H group that you are a member of and the years involved ______
_____GINNY KRAUSE MEMORIAL SCHOLARSHIP – Criteria: Planning to pursue an advanced two year technical or four year degree. What is your area of study?______
Do you plan to receive a two or four year degree? ______
_____FREDA & GEORGE KREMP SCHOLARSHIP - Criteria: Any FCHS Senior.
_____WALTER & MARIE KREMP SCHOLARSHIP - Criteria: Any FCHS Senior.
_____NATHAN LAKE MEMORIAL SCHOLARSHIP - Criteria: A ten year 4-H member or has been involved in FFA. If you were involved in 4-H, list the 4-H group that you were a member of and the years involved ______
If involved in FFA, list the years ______
_____GEORGE E. MCKINNEY MEMORIAL SCHOLARSHIP - Criteria: Any FCHS Senior.
_____CYNTHIA OEHLMAN FOREIGN LANGUAGE SCHOLARSHIP - Criteria: Planning to study in the area of Foreign Language. Please write the name of the Language you intend to study.
______
_____ELINDAPENNINGTON MEMORIAL SCHOLARSHIP - Criteria: Planning to study in the veterinarian field.
_____WILLARD H. & MARIE C. PETERSEN MEMORIAL SCHOLARSHIP - Criteria: Any FCHS Senior.
_____ALTA A. PROFITT SCHOLARSHIP - Criteria: Scholarship awarded to students who attended Laurel Preschool beginning with the 2001-02 preschool class, which was taught by Alta Profitt. Please note what year(s) you were in the Laurel Preschool program: ______
_____CHRISTOPHER R. PROFITT FOREIGN LANGUAGE SCHOLARSHIP - Criteria: Planning to study in the area of Foreign Language. Please write the name of the Language you intend to study.
______
_____DICKIE ROSENBERGER MEMORIAL SCHOLARSHIP - Criteria: Planning to study in a technical related field. Examples are Electrician, Plumber, Welder or Mechanic . What field are you planning to study? ______
____MAURY & MARY SCHOTT MEMORIAL SCHOLARSHIP - Criteria: Male and female who have been members of the Varsity Golf Team, one year as a senior. What years during your high school career were you involved in the golf program? Students must have played golf their senior year.
______
_____CLAYTON “CLAY” JOHN SEALE MEMORIAL SCHOLARSHIP - Criteria: Planning to pursue a degree in Automotive Technology or a similar field. What field are you planning to study? ______
____DAVIDSEUFERT MEMORIAL SCHOLARSHIP - Criteria: Primary Consideration: Planning to study in a field relating to medicine; Secondary Consideration: Involvement in athletics. If pursuing a profession in the medical
field, what do you plan to study? ______If an FCHS athlete,
what sports are you involved with? ______
_____ALVIN SMITH MEMORIAL SCHOLARSHIP - Criteria: Primary Consideration: Student who graduated from Laurel Elementary & Jr. High School. Once a recipient has been chosen, he/she will be eligible to receive the scholarship award for four consecutive years, if proof of college enrollment is provided. There will be no additional application process. What years did you attend Laurel Elementary & Jr. High School? ______
_____CHARLESK.AND BETTY L. SPRAGUE FAMILY ENDOWMENT - Criteria: Planning to study education with the intent of becoming an elementary, high school or special education teacher.
_____HOWARD & RUTH STANG SCHOLARSHIP - Criteria: Minimum 3.0 GPA.
_____ CORA STEGNER SCHOLARSHIP - Criteria: Primary Consideration: Attending Ball State University. Secondary Consideration: Studying in the field of education.
_____COLLEEN CURRENS-STEVENS MEMORIAL SCHOLARSHIP - Criteria: Female student who has been involved in athletics. (Female students only) What athletics have you been involved in and during what years of your high school career?
______
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_____ DOUGSTIRN MEMORIAL SCHOLARSHIP - Criteria: Minimum 3.0 GPA and planning to pursue a profession in any capacity of the medical field. What do you plan to study? ______
______
Write a paragraph about why you plan to enter the medical field: ______
______
_____MISTY DAWN SURGUY MEMORIAL SCHOLARSHIP - Criteria: Has overcome adversity in high school, such as a physical or health related disability. What physical or health related adversity have you had to overcome? ______
______
Reminder; one of your Applicant Appraisals (see page 10) must be from a teacher or other adult telling about the adversity you have dealt with.
_____LEO TINCHER MEMORIAL SCHOLARSHIP – Criteria: Planning to study in the nursing field.
_____WARREN WYATT WELLS SCHOLARSHIP - Criteria: Any FCHS Senior.
Scholarships For Residents Of Franklin County
Graduating From An Accredited High School
_____AMERICANLEGION AUXILIARY SCHOLARSHIP - Criteria:May not be the valedictorian or salutatorian. Must have a father, mother, brother, sister or grandparent in good standing with the American Legion Bernard Hurst Post 77 or the American Legion Auxiliary Bernard Hurst Post 77.Who is your relative in the American Legion Auxiliary and/or American Legion Bernard Hurst Post 77?
______
_____CLARA BACK MEMORIAL SCHOLARSHIP – Criteria: Must attend college in the state of Indiana. SAT math score of at least 670 or ACT score of at least 30. One applicant appraisal must be from a math teacher. What Indiana college are you attending? ______What is your math SAT score? ______
What is your ACT score? ______Reminder; one of your Applicant Appraisals (see page 10) must be from a math teacher.
_____MARY & CHESTER BOMMER MEMORIAL SCHOLARSHIP - Criteria: Primary Consideration – A student who is or has been active in 4-H and is pursuing a degree in a field related to agriculture, consumer science or natural resources. Consideration will be given for the number of years active in 4-H. Secondary Consideration – A student who is a member of FFA and pursuing a degree in a field related to agriculture, consumer science or natural resources. Are you now or have you been involved in 4-H? ______Number of years involved in 4-H ______Are you a member of FFA? ______How many years have you been involved in FFA? ______What degree are you pursuing? ______
_____LANCE COX MEMORIAL SCHOLARSHIP – Criteria: Planning to attend Earlham College. Primary Consideration given to students studying Biology or Geology. Renewability: Eligible to re-apply each year while attending Earlham College, with proof of enrollment. Are you planning to attend Earlham College this fall? ______What field are you planning to study? ______
_____DAUGHTERS OF ISABELLA, ST. CATHERINE CIRCLE #103 SCHOLARSHIP - Criteria: Graduate from FCHS or Oldenburg Academy. GPA may not be less than 2.0 on a 4.0 scale. Student must be a relative of a D of I St. Catherine Circle #103 member in good standing. Who is your sponsoring D of I relative?
______
_____SISTER DOMINICA DOYLE SCHOLARSHIP - Criteria: Graduate of St. Michael School. What year did you graduate from St. Michael School? ______
____FRANKLIN COUNTY ARTS COUNCIL SCHOLARSHIP - Criteria: GPA of 3.2 or above. You must have participated in some genre of the arts while in high school, such as band, chorus, drama, etc. List what genre of the arts you participated in and what year(s) ______. Must complete a one-page essay detailing plans for future study and how the arts contributed to your school experience (attach essay to this application). List high school activities relating to the arts, whether in a performance role or auxiliary role such as stage helper, manager, etc. ______
_____FRANKLIN COUNTY EXTENSION HOMEMAKERS SCHOLARSHIP – Criteria: Primary consideration will be given to students who have a great-grandmother, grandmother, mother or aunt who is currently active or was active in the past in the Franklin County Extension Homemakers organization; however, if no applicant meets this criteria, the scholarship may still be awarded. Who is your FC Extension Homemaker member and their relationship to you? ______
____HAROLD & MARY ANN GEIS MEMORIAL SCHOLARSHIP - Criteria: Graduate of St. Michael School and attended for at least two years. A member of the St. Michael Parish. One of your Applicant Appraisals (see page 10) must be from a principal, teacher or counselor. What year did you graduate from St. Michael School? ______
What years did you attend St. Michael School? ______Are you a current member of the St. Michael Parish? ______.
_____TIM HINDERBERGER MEMORIAL SCHOLARSHIP - Criteria: Primary Consideration: Student who will be playing baseball or softball in college. Secondary Consideration: Student who is pursuing a degree in the field of Forestry or Welding. Which sport are you playing or which degree are you pursuing? ______
_____LEO “LEE” LAMPING MEMORIAL SCHOLARSHIP - Criteria: Planning to attend the College of Mount Saint Joseph. Are you planning to attend the College of Mount Saint Joseph this fall? ______
_____EDNA LANDRETH – SPRINGFIELDTOWNSHIPSCHOOL ALUMNI ASSOCIATION SCHOLARSHIP
Criteria: Primary Consideration - Reside in Springfield Township in Franklin County. Secondary Consideration - Plan to attend Ball State University and reside in any township in Franklin County.
Are you planning to attend Ball State University? ______List the township you reside in ______
_____JAMES P. & MARY M. MULLIN MEMORIAL SCHOLARSHIP - Criteria: Planning to attend EarlhamCollege. Renewability: Eligible to re-apply each year while attending EarlhamCollege, with proof of enrollment. Are you planning to attend Earlham College this fall? ______
_____ ELLIS-NEWMAN EDUCATION SCHOLARSHIP - Criteria: Must be graduating from Franklin County High School or Oldenburg Academy. Must be pursuing a degree in primary or secondary education for the purpose of becoming a school teacher.
_____JOSEPH E. STENGER MEMORIAL SCHOLARSHIP – Criteria: Must be pursuing a degree at a technical college. Have been involved with either FFA, 4-H, cross country, track or a member of St. Michael Catholic Church. What technical degree are you pursuing? ______Which of the above criteria were/are you involved with and for how long? ______
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_____DAVID LEE VERBRYKE MEMORIAL SCHOLARSHIP – Criteria: Primary Consideration: Studying in a field related to language arts, including but not limited to Journalism, Writing, English or Communications. What type of language arts are you planning to study?______
_____LEWIS & ROSALIE WILSON MEMORIAL SCHOLARSHIP - Criteria: Primary Consideration: Student who is attending Purdue University to study an agriculture related field. Secondary Consideration: Student who is attending Purdue University. Are you planning to attend Purdue University this fall? ______
Scholarships For Applicants Who May Reside Anywhere
and are Graduating From An Accredited High School
_____ART & CAROL HILDEBRAND / TONY & VALERIE WINDLE SCHOLARSHIP – Criteria: Resident of Franklin County Indiana, Fayette County Indiana, Ripley County Indiana or Harrison Ohio. Pursuing a degree in Physical Education, Nursing or Teaching. GPA of at least 2.0. Which county do you reside? ______Which degree are you pursuing? ______Is your GPA above 2.0? ______
_____DOMINIC & GLENDA IACOBUCCI SCHOLARSHIP - Criteria:Graduating from East Central High School, Franklin County High School or Harrison High School. Students must themselves be, or be the child of parents who are actively involved in a local Christian church body. Students or parents must attend services, youth group and/or other church gatherings at least two times per month. Preference will be given to applicants attending Rockdale United Methodist Church.
Which church do you attend? ______
How are you involved in your church? ______
______
______
_____MT. CARMEL PRESBYTERIAN CHURCH SCHOLARSHIP - Criteria: Primary Consideration: Students who are members of Mt. Carmel Presbyterian Church. Secondary Consideration: Students who graduated from Mt.CarmelSchool. Are you a member of the Church? ______Did you attend Mt. Carmel School and what years? ______
_____NAYLOR FAMILY SCHOLARSHIP – Criteria: Must be or have been involved in 4-H. How long have you been a 4-H member? ______
_____MARYWILLHELM SCHWEGMAN MEMORIAL SCHOLARSHIP - Criteria: Graduating from Batesville High School or Franklin County High School. Planning to study nursing or education and have demonstrated financial need.
_____JONATHAN TINCH MEMORIAL SCHOLARSHIP – Criteria: Resident of Franklin County Indiana or Fayette County Indiana. Student, parent, grandparent or sibling who has been diagnosed with Leukemia or another type of blood cancer. Which county do you reside? ______Who has been diagnosed and with what type of blood cancer? ______
PLEASE MAKE SURE THIS IS THE BEGINNING OF A NEW PAGE BEFORE YOU PRINT.
A. List colleges to which you have applied:
Not Accepted AcceptedPending Attending
(1) ______
(2) ______
(3) ______
Please name your college major/minor (if applicable): ______
If known, please mark the college you will be attending.
B. Short Answer Questions (Please type your answers in the space after the question. The area will expand as you type.)
1. List all school, community, clubs, church, and sports activities in which you have participated during your high school years.
High School, Community, and Extra-Curricular Activities / Year Participated / Leadership Role(list position) / Honors and/or Awards / School or Community
Activity
e.g.: Cross country / 10, 11, 12 / Co-Captain 11
Captain 12 / Most Valuable Runner 12 / school
e.g.: 4-H / 9, 10, 11, 12 / Junior Leader 10, 11, 12
President of club 12 / State Fair participant 9, 11 / community
2. Which of the above was the most challenging and why?
3. Do you believe the distance from school or other circumstances affected your participation in school or community activities? If yes, please explain.
4. List any AP, honors, or college credit courses taken in high school. (including any current courses)
5. Is your high school academic record an accurate measure of your ability and potential? Why or why not?
6. Explain a situation when you had to make a difficult choice that tested your character.
7. Have you ever been suspended, expelled or dismissed from school, or been on in-school suspension or out-of-school suspension during high school? If yes, please explain.
8. Need is a factor specified in some of the scholarship requirements and is considered by this committee. Please summarize in the space below why you need this scholarship to finance your college education.
9. Are you a first-generation college student?
10. List the ages and grades of any other children in the family.
11. Are you a Twenty-First Century Scholar?
12. What is your gender? ______Male ______Female
C. Work Experience
List your work experience during vacations, outside of school hours or during summers.
Dates of EmployerNumber of Duties Seasonal?
employmenthours worked
per week
Senior______
Junior______
Sophomore______
Freshman______
D. Attachments
Please attach the following items in the order listed:
- Essay
Please attach an essay to this application exploring this question: What evidence can you present to us as to the quality of your character, your dependability and your plans for the future? Essay should be typed, concise and no longer than one page.
- Applicant Appraisal Form
Refer to the Applicant Appraisal Sheet (page 10). Be sure the appraisers are aware of the deadline date.
- Transcript
Please ask your Guidance Counselor to convert your transcript to a 4.0 scale (if needed).
* PLEASE BE CERTAIN ALL QUESTIONS ARE ANSWERED COMPLETELY OR THIS APPLICATION WILL NOT BE CONSIDERED.
APPLICANT APPRAISAL
STUDENT: Print two appraisals and distribute to two adults. One applicant appraisal may be completed by a school administrator or teacher, and the remaining one from a community or religious leader, employer, or another person in a position of authority who knows you and your accomplishments. Members of the FCCF Board of Directors, FCCF staff or members of your family are not permitted to complete appraisals. Please remember to collect the appraisals from the adults and include them with your application. If they choose to, the appraisers may mail their appraisals to the FCCF Office at 527 Main Street, Brookville, IN 47012. Appraisals must be received at the FCCF office by 4:00 PM on March 1, 2018.