First Reformed Church

Congregation Scholarship Fund

Of Conrad, Montana

Qualifications

  1. Open to all seniors who have attended two years of high school in Conrad, Montana
  2. Open to all scholastic fields or trades

Requirements

  1. Transcript must be furnished by principal or counselor
  2. Three recommendation forms must be completed by the following:
  3. Pastor of church of attendance
  4. High school principal
  5. One classroom teacher or employer
  6. If no church affiliation, then student may substitute with second teacher or employer recommendation
  7. NOTE: Letters of recommendation must be returned to the Guidance Counselor’s office, 308 South Illinois, Conrad MT 56425, prior to 4:00 P.M. on the last school day of April.
  8. Applicant must report a list of other scholarships received and those applied for.
  9. All applications must be submitted to the Guidance Office by 4:00 P.M. on the last school day in April

First Reformed Church Congregation Memorial Scholarship Fund

This form should be filled out by the applicant and mailed with an official transcript of high school work to the Conrad High School Guidance Office (308 S. Illinois) prior to May 1st.

Applicant’s Name Sex Date of Birth

Address Zip Code

Religious Affiliation Pastor’s Name

Name of Father Occupation

Name of Mother Occupation

Name of Guardian Occupation

(If other than parent)

Number of children in family including applicant

Number of children in family who will attend post secondary education this fall

Name of high school attending Date of Graduation

High schools previously attended (if any)

Scholastic honors in high school (Attach additional pages if needed)

Out of School Activities (clubs, church groups. Etc.)

Other scholarships received or applied for (Attach additional pages if needed)

AppliedReceived Amount

Type of summer and part-time employment

Your contemplated major/field of study

Name of college or trade school you plan to attend and years required to complete:

Please write or type a summary of your higher educational objectives, stating why you have chosen as you have:

______

(Date)(Applicant’s Signature)

First Reformed Church Scholarships

Recommendation Form

Person being recommended ______

In what capacity have you known the applicant? ______

Please rate the applicant based upon the personal characteristics using the code listed below.

Please circle the best number using the scale below:

1—Excellent4—Poor

2—Good5—No Evidence

3—Average6—No Basis for Judgment

  1. Academic Initiative
  2. Works beyond required goals1 2 3 4 5 6
  3. Shows creativity and originality1 2 3 4 5 6
  4. Assumes leadership and responsibility1 2 3 4 5 6
  5. Punctuality
  6. Is absent only when necessary1 2 3 4 5 6
  7. Is tardy only when necessary1 2 3 4 5 6
  8. Meets obligations on time1 2 3 4 5 6
  9. Course Selection
  10. Consistently takes a course load greater than what is required1 2 3 4 5 6
  11. Selects courses which display a greater level of difficulty1 2 3 4 5 6
  12. Selects courses which produce a well-rounded education1 2 3 4 5 6
  13. Academic Potential
  14. Ability to perform at the college level1 2 3 4 5 6
  15. Strives to improve1 2 3 4 5 6
  16. Displays conscientiousness1 2 3 4 56
  17. Productive Follow-Through (stick-to-it-iveness)
  18. Persistent and successful extra-curricular accomplishment1 2 3 4 5 6
  19. Persistent and successful in classroom accomplishment1 2 3 4 5 6
  20. Quality of moral standards1 2 3 4 5 6
  21. Personality and ability to get along with others1 2 3 4 5 6
  22. Integrity1 2 3 4 5 6

Note: Recommendation forms must be returned or mailed to the Guidance Office (308 S. Illinois, Conrad, MT 59425) prior to the last school day of April.

Other Brief comments, if any:

Date: ______Signature of Person Recommending:

First Reformed Church Scholarships

Recommendation Form

Person being recommended ______

In what capacity have you known the applicant? ______

Please rate the applicant based upon the personal characteristics using the code listed below.

Please circle the best number using the scale below:

1—Excellent4—Poor

2—Good5—No Evidence

3—Average6—No Basis for Judgment

  1. Academic Initiative
  2. Works beyond required goals1 2 3 4 5 6
  3. Shows creativity and originality1 2 3 4 5 6
  4. Assumes leadership and responsibility1 2 3 4 5 6
  5. Punctuality
  6. Is absent only when necessary1 2 3 4 5 6
  7. Is tardy only when necessary1 2 3 4 5 6
  8. Meets obligations on time1 2 3 4 5 6
  9. Course Selection
  10. Consistently takes a course load greater than what is required1 2 3 4 5 6
  11. Selects courses which display a greater level of difficulty1 2 3 4 5 6
  12. Selects courses which produce a well-rounded education1 2 3 4 5 6
  13. Academic Potential
  14. Ability to perform at the college level1 2 3 4 5 6
  15. Strives to improve1 2 3 4 5 6
  16. Displays conscientiousness1 2 3 4 56
  17. Productive Follow-Through (stick-to-it-iveness)
  18. Persistent and successful extra-curricular accomplishment1 2 3 4 5 6
  19. Persistent and successful in classroom accomplishment1 2 3 4 5 6
  20. Quality of moral standards1 2 3 4 5 6
  21. Personality and ability to get along with others1 2 3 4 5 6
  22. Integrity1 2 3 4 5 6

Note: Recommendation forms must be returned or mailed to the Guidance Office (308 S. Illinois, Conrad, MT 59425) prior to the last school day of April.

Other Brief comments, if any:

Date: ______Signature of Person Recommending:

First Reformed Church Scholarships

Recommendation Form

Person being recommended ______

In what capacity have you known the applicant? ______

Please rate the applicant based upon the personal characteristics using the code listed below.

Please circle the best number using the scale below:

1—Excellent4—Poor

2—Good5—No Evidence

3—Average6—No Basis for Judgment

  1. Academic Initiative
  2. Works beyond required goals1 2 3 4 5 6
  3. Shows creativity and originality1 2 3 4 5 6
  4. Assumes leadership and responsibility1 2 3 4 5 6
  5. Punctuality
  6. Is absent only when necessary1 2 3 4 5 6
  7. Is tardy only when necessary1 2 3 4 5 6
  8. Meets obligations on time1 2 3 4 5 6
  9. Course Selection
  10. Consistently takes a course load greater than what is required1 2 3 4 5 6
  11. Selects courses which display a greater level of difficulty1 2 3 4 5 6
  12. Selects courses which produce a well-rounded education1 2 3 4 5 6
  13. Academic Potential
  14. Ability to perform at the college level1 2 3 4 5 6
  15. Strives to improve1 2 3 4 5 6
  16. Displays conscientiousness1 2 3 4 56
  17. Productive Follow-Through (stick-to-it-iveness)
  18. Persistent and successful extra-curricular accomplishment1 2 3 4 5 6
  19. Persistent and successful in classroom accomplishment1 2 3 4 5 6
  20. Quality of moral standards1 2 3 4 5 6
  21. Personality and ability to get along with others1 2 3 4 5 6
  22. Integrity1 2 3 4 5 6

Note: Recommendation forms must be returned or mailed to the Guidance Office (308 S. Illinois, Conrad, MT 59425) prior to the last school day of April.

Other Brief comments, if any:

Date: ______Signature of Person Recommending: