Name ______

Sparta Scholarship Checklist

Make only one packet for these scholarships and Make one packet for each of these scholarships

check the boxes for the ones you are applying to: and check only one box per application packet:

Barbershoppers / 1st Community Credit Union
Class of 1939-1989 / Brown Student Athlete, Dr. Jack *
Class of 1969 W. Foster / Cataract Sportsman *
Class of 1981* / Class of 1940 Music *
Class of 1983 / Class of 1978 *
Greeno Memorial, Tim and Karen / Class of 1991 *
Haney Memorial, Winona J. / Erv’s Sparta Area Fire Protection District *
Harrie Scholarship, Dale and Phyllis / Finstad Memorial, Jason D. *
Jackson Electric Cooperative / Grewal Memorial, Singh *
Jacobs Memorial, Neil R. * / Kenyon Memorial, Delores*
Janusheske Memorial, John (Jack) * / Kiwanis Club *
Klein Memorial, William M. (essay required) / Lady Butterfest
Krotzman Memorial Medical Tech, Janet / Lundy Memorial, George and Phyllis *
Leon Garden Club / Mayo Auxiliary*
Masonic Lodge / Piper Memorial, Prescott O.
Nichols Memorial, Alexander L. / Shiroda Memorial, George and Beverley *
Pederson Golf Memorial, David H. / Sparta Boys Basketball Association *
Schendel Memorial, Ann and Harold / Sparta Boys Soccer Association *
Tucker Memorial, Byron / Sparta Education Association *
Tucker Memorial, Wendell / Sparta Girls Soccer Association *
Western Technical College / Sparta Grid-Iron Booster Club *
Wrestling, Margo Degenhardt Memorial / Sparta Lions Club *
Zillmer, Ann Andersen Inspiration Award / Sparta Public Education Foundation *
Sparta Rod & Gun Club*
Sparta Sparks Volleyball Club*
Tilling Thyme *
Wall Memorial, Mark *

* = Letter of Recommendation required

Please print and submit to Sparta High School Student Services

by 7:40 a.m. on March 2, 2018.

Sparta Scholarship Application

Name:

Address:

Phone:

High School Academic Information

ACT Composite Score (if applicable)

Future Education Plans

School you plan on attending

Have you applied? YesNo

Have you been accepted? Yes No

Area of study (If unsure indicate “Undecided”)

Desired career upon college graduation

GPA (Cumulative) (use 3 decimal points, do not round)

Class Rankof

School Activities

Activity / # years involved / Special awards, honors / Offices Held

Community Involvement/Volunteer

Activity and description / Number of hours / # years involved / Honors/ Awards

Work

Employer / Position- job duties / Hours per week / Dates employed

Personal Statement

Address the following in a typed,one page (no longer), 12 point font essay. Completeness of ideas, sentence construction, spelling and neatness are important. What would receiving a scholarship mean to you and why? What qualities and attributes do you have that make you a top candidate for a scholarship? You may also share any extenuating circumstances that may be an obstacle to your education (i.e. family situations, personal situations, financial, health), but this is optional.

Please read the statements below and sign/date:

  • I verify that the information provided on this application is accurate and my original work.
  • I acknowledge that I read and agree to the terms on the scholarship instruction page.
  • I understand that failure to follow the instructions may result in an invalid application.
  • I consent for the Sparta School District to verify my official GPA and class rank.

Student Signature ______Date ______

Please print and submit to Sparta High School Student Services by 7:40 a.m. on March 2, 2018.

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