Emmette and Kathleen Land Memorial Scholarship

The DeKalb Education Foundation Scholarship Committee will evaluate all applications to the Emmette and Kathleen Land Memorial Scholarship.

Eligible Applicants

  • must have participated in an organized athletic or music program at DeKalb High School
  • maintained at least a 3.0 GPA.

Instructions

Students must complete ALL parts of the application to be considered. Except for your signature, the application must be typed.

Complete applications must be returned to Kathy Cebulski in the Student Services Office at DeKalb High School by March 10.

Part I: General Information & Signature

Full Name:

Street Address:

City: State: Zip:

What post-secondary school do you plan to attend?

Cumulative GPA:Cumulative Class Rank:

By signing below, I affirm the information contained in this application is true and accurate to the best of my knowledge and belief. With my signature, I authorize release of the information contained in this document to any interested scholarship sponsor.

Applicant signature (if 18 or older)Date

Parent Signature (if under age 18) Date

Revised 1.15

Emmette & Kathleen Land Memorial Scholarship

Application

Part II: Community Service

  • List all community service activities that you participated in OUTSIDE of school. Community service activities include any volunteer work in which you did not get paid.
  • Examples of community service include: volunteering at a hospital or church, community clean up, and working at homeless shelters.

DO NOT INCLUDE DHS SERVICE HOURS OR SCHOOL RELATED SERVICE HOURS.

Type of Service Performed / Location of Service / Year (fr., so., jr., or sr.)
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior

Part III: School Sponsored Activities

  • List all DeKalb High School sponsored clubs and sports you have participated during high school.
  • List only activities in which you participated for at least one hour or more, per week, during the particular season.
  • Include the activity, year, leadership position (such as captain, president, treasurer, mentor, etc.), and awards (1st, 2nd, 3rd place; MVP; honorable mention; most improved, etc…).

Activity / Years Involved
(e.g. Freshman to Junior for three years participation
or Sophomore to Sophomore for one year participation) / Leadership Position and Awards Received
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior
Select YearFreshmanSophomoreJuniorSenior to Select YearFreshmanSophomoreJuniorSenior

Part IV: Work Experience

  • List any paid part-time or full-time work experience you have.
  • Include the employer name and position held
  • If additional space is necessary, submit a typed addendum to this application with an extension of the table.
  • Clearly note to which table you are adding.

Employer / Position / Hours/
Week / Dates ofEmployment

Part V: Essay Questions:

  • Answer the following questions in two well-developed paragraphs.
  • Please do not exceed one page to answer both questions.

What are your career goals and the reasons you want to further your education?

Why should you receive the Emmette and Kathleen Land Memorial Scholarship?

It may be helpful to review the criteria for eligible applicants.

Student must have:

  • must have participated in an organized athletic or music program at DeKalb High School
  • maintained at least a 3.0 GPA.

Revised 1.15