Concord, OH 44077
Phone: 440-358-8045, ext 8301
Fax: 440-358-8022 / Contact: Stephanie Kubec at LEAF with questions.
E-Mail:
ED GOODWIN MEMORIAL SCHOLARSHIP
DEADLINE: 3/18/2016 / Award: $1,000
You are responsible for providing all of the required documentation on or before the deadline.
Missing materials will disqualify you.
ALL DEADLINES ARE FIRM. ALL APPLICATIONS MUST BE RECEIVED IN OUR OFFICE NO LATER THAN THE DEADLINE. LATE APPLICATIONS WILL NOT BE CONSIDERED UNDER ANY CIRCUMSTANCES.
Requirements: You must be a graduating senior from Perry High School who is enrolled full-time in a 2 or 4 year college or university for the fall of 2016.
What you need to apply:
1. Application
2. 2 letters of recommendation. One MUST be from someone who can verify your leadership involvement.
3. An official high school transcript
The selection committee will award to a student who can demonstrate strong leadership qualities. Preference is given to those who plan to major in education.
MAIL APPLICATIONS TO: / Stephanie Kubec
LEAF
8221 AUBURN ROAD
CONCORD, OH 44077
8221 Auburn Road / Connecting students to resources that open doors to higher education
Concord, OH 44077
Phone: 440-358-8045
Fax: 440-358-8022 / Contact: Stephanie Kubec at LEAF with questions.
E-Mail:
2016ED GOODWIN MEMORIAL SCHOLARSHIP APPLICATION
PERSONAL INFORMATION: (Please type or print)
Name
Last / First / MI
Address
Phone: / Alternate Phone:
Cumulative GPA / E-mail / Birth date:
↓ READ AND SIGN ↓
LEAF may use, transmit, or receive information from my high school and/or college to determine my eligibility for this scholarship.
The guidelines for the Ed Goodwin MemorialScholarship are attached to this application. By signing this application, the undersigned hereby acknowledges receipt of the guidelines and agrees to waive all personal claims, causes of action or damages against the LEAF program, its Board of Directors, officers, employees and associates thereof, Scholarship Representatives and associates thereof. In addition, the undersigned agrees to allow their name and/or likeness to be used for publicity purposes should they be awarded ascholarship.
My signature certifies that I have read, understand and agree to the terms and conditions of this application and that all information I have provided is correct.
SIGNATURES MUST BE ORIGINAL!!
Date
Student Signature
Date
Parent Signature (required if student is under age 18)
What college/university do you plan to attend in the 2016-2017 academic year?
Please tell us about your college and career aspirations. Please include your intended area of study and why you have chosen it.
List your employment during high school (including summer).
Where / Type of Work / Dates Month/Year / Hrs. per Week
Tell us about any positions you have held or activities you have been involved with that can demonstrate your leadership qualities. Please note not all scholarships are evaluating this so if you have nothing to list, don't be concerned. Enter N/A.
Position / 9 / 10 / 11 / 12 / Description
In thinking about your leadership experiences, describe how they have impacted you. Some questions to consider are: Has your experience changed your goals? Were you surprised at your ability to lead? How did others react? You may attach additional sheets of paper if the space provided is insufficient
Please list and describe your involvement in any extra-curricular activities you were involved with during high school that are not listed elsewhere on this application.
Name of Activity / 9 / 10 / 11 / 12 / Description
Community service performed in school and out of school. It is very important to be specific. You may attach additional sheets of paper if the space provided in insufficient.
Name of Club/Organization / 9 / 10 / 11 / 12 / Hours/wk / Weeks/
year / Describe Your Involvement
Please tell us about any special circumstances you want the selection committee to know in considering you for this scholarship.
To include a transcript and 2 letters of recommendation.
Deadline is March 18, 2016. ALL APPLICATIONS MUST BE RECEIVED IN OUR OFFICE NO LATER THAN THIS DATE. LATE APPLICATIONS WILL NOT BE CONSIDERED UNDER ANY CIRCUMSTANCES.
MAIL APPLICATIONS TO: / Stephanie Kubec / CONTACT: Stephanie Kubec skubec @leaf-ohio.org
LEAF / Phone: 440-358-8045, EXT 8301
8221 AUBURN ROAD / Fax: 440-358-8022
CONCORD, OH 44077
LETTER OF RECOMMENDATION REQUEST
TO THE STUDENT:
Two letters of recommendation are required for this application. You may want to give this form to the people you are requesting the recommendation from. It will assist them in writing their letter and remind them when and how to submit it.
Name of Scholarship: / Ed Goodwin Memorial Scholarship
Name of Student:
The selection committee will award to a student who can demonstrate strong leadership qualities. Please direct your comments to your knowledge of the applicant’s leadership qualities you have observed. Thank you.
Deadline: / March 18, 2016
Return to: / / Student / / Stephanie Kubec
c/o LEAF
8221 Auburn Road
Concord, OH 44077
Fax: 440-358-8022
Your recommendation is an important component of the student's application. Thank you for taking the time to prepare your letter. It is imperative you return this letter in a timely manner either to the student or directly to our office.
Ed Goodwin Memorial Scholarship
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