Dixon Community Scholarship Fund

Chris Hunt, President (573) 759-6371 / Tim Cross, Member
Trish McCray, Vice President (573) 759-6407 / Nancy Helton, Member
Mary Nelson, Secretary (573) 759-6187 / David H. Martin, Member
Grover Johnson, Treasurer (573) 759-2255 / Carlene McMillian, Member
Dawnita Rowden, Member
Cheryl Stoneking, Member
Melissa Yoakum, Member
Alan Zepp, Member

Dixon Community Scholarship Fund

Mission Statement

1. The Dixon Community Scholarship Fund was formed in 1990 with the specific goal of providing scholarship grants to graduates of Dixon High School who intend to further their education at an accredited college or vocational school.

2. Academic standing, while important, is not the only criteria for financial assistance from the scholarship grants. The Scholarship Committee is committed to look at the students’ community involvement, ACT/SAT scores, grades, school attendance, conduct, and desire to commit to the goal of obtaining a college degree. (Minimum of twelve college credit hours per semester must be maintained.)

3. It is also the intent of the Committee to award grants to applicants with limited (few) financial resources whose family income might otherwise disqualify them from federal, state or institutional assistance.

4. The Scholarship Committee feels strongly that all applicants should be considered for scholarship grants with careful attention and review of applicants with limited resources. With an opportunity and resources, these applicants are often individuals who also excel within our community later in life.

5.The Dixon Community Scholarship Fund and Committee subscribe to all equal opportunity requirements, whether federal or state. All applicants will receive equal and fair consideration of their assistance request without regard to the applicant’s sex, race, creed, color or religious preference.

Updated February 20, 2002

Dixon Community Scholarship Fund

Deadline Information

Interview Date: May 9 – 10, 2002

Location: ALLTEL building

Application Deadline:April 22, 2002

Applicants will receive notice of their scheduled time to be interviewed. A schedule of times will also be available in the High School Principal’s office.

Please be on time for your interview. If possible, be a little early, 15 minutes or so. If there is a problem with the time you have been given (pre-scheduled work, doctor’s appointment, school, etc.), please contact either Trish McCray at 573-759-6407 or 573-759-2027, or Nancy Helton at 573-759-7119 to have your interview time changed. We will try to accommodate everyone to the best of our ability.

If you are not able to attend the interview due to significant circumstances beyond your control, a video interview may be permitted. Under these circumstances, you must seek prior approval through Nancy Helton, and submit a video interview no longer than five minutes in length with your application prior to the aforementioned deadline. Please keep in mind that this is an option only under extreme circumstances.

Scholarships awarded this year will be given at Honors Night. Recipients will be notified by telephone and are asked to be in attendance at Honors Night, if at all possible. Pictures of the recipients will be taken afterwards.

Thank you for taking the time to apply for one of the following scholarships:

Dixon Community Scholarships

American Family Insurance

Mid America Bank and Trust

Ralph Jay Nelson Memorial Scholarship

Rue Houck Harris Scholarship (Senior - Boy/Girl)

Grover L. Johnson Scholarship

Maries County Bank Scholarship (Renewable/4 years)

Good Luck!!!

Dixon Community Scholarship Fund

Application Instructions

We hope you find these instructions informative and helpful in filling out the attached application forms. We ask that you give your answers some thought and that you make them legible!

I. EDUCATION

1. List the college to which you have applied or the college that you are currently attending.

2. List your college entrance exam scores: SAT, ACT or both.

3. List your class standing and class size. (High school graduating seniors only)

4. List your current high school or college grade point average. (GPA)

5. List the title of honors courses you have taken, if any.

*The word “college” in this application includes all accredited vocational schools.

II. EXTRA-CURRICULAR ACTIVITIES AND WORK EXPERIENCES

1. List those activities in which you have been actively involved within the past three years, such as art, athletics, band, clubs, church activities, community service, debate, drama, school newspaper, scouting, student government, yearbook staff, volunteer work, etc. Please inform us if you have held an office in any club or organization and the length of time (number of years) you have been involved in each activity.

2. List your most recent work experiences, to include full-time or part-time positions, self-employment and summer jobs. Include dates of employment and hours worked per week. If you are a high school senior applicant, don’t forget baby-sitting experience, lawn-mowing service, work-study programs, etc.

3. List any conditions that preclude you from working or prevent you from participating in extra-curricular activities, if applicable.

4. Please include all volunteer work and activities.

III. SPECIAL AWARDS AND HONORS

List any special awards or honors you have received, such as Who’s Who Among American High School Students, National Honor Society recognition, Math award, English award, All-State Choir, volunteer appreciation certificates, etc. Don’t be shy! If you have been recognized in a special way, we want to hear about it!

Dixon Community Scholarship Fund

Application Instructions Continued

IV. FINANCIAL SITUATION

1. List the number of children living at home or in college. Also indicate how many are in high school and how many are in college.

2. List family’s combined household taxable income for the calendar year.

3. List any situations concerning the financial status of your family that we should know about. These may include, but are not limited to the following: unusual medical expenses, maintenance of separate households, dependents other than immediate family members, family members with special needs such as handicapped or disabled members, etc. You may include an explanation.

4. List any other scholarships that may be awarded to you for the next academic year. Please name and list the amounts.

V. ESSAY

Please limit your essay to one typewritten page. Essays will be evaluated on the basis of content, grammar and construction. Explain how you will utilize your college education and your reason why you are seeking a scholarship from the Community Scholarship Fund. Essays will be evaluated on the basis of content, grammar and construction.

VI. LETTERS OR RECOMMENDATIONS

All applicants are required to submit two recommendations. One of which should be from a teacher or professor who has taught you.

NOTE: Suggested other sources for recommendations include: sports coach, employer, youth pastor, scout leader, community leader, etc.

APPLICATION CHECK LIST

Have you read all portions of the application?

Have you answered all the questions on the application?

Have you obtained a TRANSCRIPT of your grades and attached it to the application? (REQUIREMENT OF ALL APPLICANTS)

Have you typewritten your ESSAY on a separate page and attached it to the application?

Have you (high school seniors) turned in the School Performance Form to the high school office for completion? Have you later made sure it is completed as well as attached to your scholarship application?

Have you included the required number of LETTERS OF RECOMMENDATIONS with the application?

REMINDER: All students are required to maintain their scholarship by being in good standing with their school and by being enrolled for at least twelve hours per semester.

Application for Dixon Community Scholarship

Scholarships in the amount of $1,000 each are available to graduates of Dixon High School each year from the Dixon Community Scholarship Fund. Half of each scholarship, when awarded, will be paid to the school in which you have enrolled for the fall semester, and the other half will be paid when you enroll for the spring semester. The scholarship money may be used at the school of your choice. Selection of scholarship winners will be by committee and will be based on community and academic accomplishments, completion of application, financial need, recommendations, and a personal interview. Two personal recommendations are required, one from a teacher of your choice and a second from a community citizen of your choice. Your completed application must be submitted only to the Dixon High School Principal or mailed to the Dixon Community Scholarship Fund; P. O. Box 1074; Dixon, Missouri 65459, in a timely fashion to meet announced deadlines.

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Full Name:______

(First) (Middle) (Last)

Home Address:______

(Street) (City) (State) (Phone)

SSN:______E-mail:______

Father’s Name:______Occupation:______

Mother’s Name:______Occupation:______

Name of School or College you plan to attend or are attending:______

______

Letters of Recommendation given to:

Name:______Phone Number:______

Name:______Phone Number:______

I Certify that:

1. The information provided in this application is complete and correct to the best of my knowledge.

2. I have read and understand the rules and eligibility requirements set forth by the Scholarship Committee.

Applicant’s Signature:______Date:______

General Information

Financial Information: Please write you & your family’s combined household income. This figure is usually located on your last 1040 Federal Income Tax return(s). Note: If you are married, please include your spouse’s income:______

Total number of family members living at home: _____; Number in High School: _____; Number in College: _____.

Special Financial Situation:

______

List other scholarships or grants for which you have submitted applications and indicate the status of those applications:

Essay: Please attach a one page typewritten essay explaining how you will utilize your college education and your reason why you are seeking a scholarship from the Community Scholarship Fund. Essays will be evaluated on the basis of content, grammar and construction.

List High School/College Activities and Honors:______

______

List Community/Volunteer Activities (Dixon or College Community): ______

______

High School Student Performance Data

Only High School Seniors need to supply this Information

The following information must be supplied by the Dixon High School

I. Education:

1. Attach the current transcript from the ninth grade through the first semester of senior year.

2. Applicant’s current GPA: ______

3. Class standing: ______

4. Class size: ______

5. Number of credits earned by the end of the first semester, senior year: ______

6. The applicant will graduate with how many years of high school study: ______

7. List any unusual course of studies unique to the applicant’s graduation: ______

II. Attendance:

1. Have the school’s attendance policies been a factor with the applicant completing graduation requirements? ______Comment only if the answer is YES with a short explanation of the circumstances and effort of the student to fulfill the attendance policy requirements.

______

______

2. Days missed: ______

Grade: 9th 10th 11th 12th

III. Conduct: Answer the following questions only if it applies to the applicant

1. Number of major discipline referrals for the current school year. ______

2. Number of major discipline referrals that resulted in out-of-school suspension this school year. ______

3. You may comment on any special or unique conduct situation (within the last three years) that may merit ______more consideration.

______

4. You may comment on any outstanding high school achievements achieved by the applicant that may merit ______additional consideration.

______

______

Results from College Aptitude Tests:

The applicant has taken the following college entrance exams:

School Signature: ______Title: ______Date: ______

College Student Information

Complete only if you are a College Applicant

I. EDUCATION

1. What year did you graduate from Dixon High School?______

2. What year do you expect to complete your post high school degree?______

3. What college are you currently attending?______

4. College entrance exam scores:

SAT______GRE______

ACT______/______

5. Please enclose your most recent official college transcript or list of grades.

6. What is your current college GPA?______

7. What title of honors courses have you taken, if any?______

II. COLLEGE ACTIVITIES AND VOLUNTEER WORK:

1. Activity:Academic Year:Position Held:

______

2. Work experience/Job description:Dates Worked:

______

3. Special conditions or circumstances that prevent you from working or participating in activities:

______

______

______

4. Special awards or honors at college or in the community:______

______

______

Dixon Community Scholarship Fund

Teacher Recommendation

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To the person completing a recommendation:

You have been asked to recommend an applicant for a scholarship from the Dixon Community Scholarship Fund. All information will be handled in a confidential manner by the Board of Directors of the Scholarship Fund and only Board Members will have access to your recommendation. All members of the Board are also excluded from making any recommendations in behalf of any applicant. This completed recommendation must be submitted only to the Dixon High School Principal or mailed to the Dixon Community Scholarship Fund; P. O. Box 1074; Dixon, Missouri 65459, in a timely fashion to meet announced deadlines. Two letters of recommendation are required, one from a teacher and one from a community citizen.

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Name of person making recommendation:______

Position in School:______

Name of Applicant:______

Recommendation should address the following qualities of the applicant:

Comments:______

______

______

______

______

______

______

______

______

______

Dixon Community Scholarship Fund

Personal Recommendation Form

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To the person completing this recommendation form:

You have been asked to recommend an applicant for a scholarship from the Dixon Community Scholarship Fund. All information on this form will be handled in a confidential manner by the Board of Directors of the Scholarship Fund and only Board Members will have access to your recommendation. All members of the Board are also excluded from making any recommendations on behalf of any applicant. This completed recommendation must be submitted only to the Dixon High School Principal or mailed to the Dixon Community Scholarship Fund; P. O. Box 1074; Dixon, Missouri 65459, in a timely fashion to meet announced deadlines.

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Name of person making recommendation:______

Position in Community:______

Address:______

Telephone:______

Name of Applicant:______

In what capacity do you know the applicant?______

______

Comments:______

______

______

______

______

______

______

Dixon Community Scholarship Fund

CRITERIA SCORING SHEET

*For Committee Use Only*

FORM A

I.NEATNESS AND PROMPTNESS IN THE

COMPLETION OF THE APPLICATION: 5 Points_____

RECOMMENDATIONS: 5 Points_____

COMMUNITY INTEREST/INVOLVEMENT:15 Points_____

FINANCIAL NEED:25 Points_____

STUDENT PERFORMANCE RECORDS:20 Points_____

Sub Total Possible:70 Points_____

II.INTERVIEW:30 Points_____

Total:100 Points_____

Scoring Guidelines:

Part I & II will be scored on a 1-point interval (example 0,1,2,3)

All ties will be broken by another point vote based on the overall impressions of each individual attending member of the scholarship committee.

_____