HIGH SCHOOL SENIOR APPLICATION
MERRICK FOUNDATION, INC.
GENERAL APPLICATION FOR 2005 SCHOLARSHIPS OFFERED TO
STUDENTS THAT LIVE IN MERRICK COUNTY OR
ATTEND A MERRICK COUNTY SCHOOL
Before you begin, please read the instructions below carefully. Failure to follow these instructions may result in your application being disqualified.
This scholarship program is available to residents of Merrick County school districts. One scholarship application form covers all scholarships available to high school seniors due in the Foundation office, or postmarked, on February 17, 2005.
To ensure that your application is completed and submitted correctly, please adhere to the following requirements:
1. To view the overall format of the document, print out a blank copy of the form. Pages 1-7 include instructions and detailed information about scholarship selection criteria. Pages 8-21 comprise the actual application form. Note that there are instructions within the form itself.
2. Use the “Tab” key to move from field to field. To avoid altering the form, DO NOT use the “Enter” key!
3. Periodically SAVE your information!
4. Proof your work! It may be helpful to have your parent or guardian review the information.
5. Review the Application Checklist.
7. Save your final Scholarship Application Form to a 3 ½” Floppy Disk (Available from your Guidance Counselor) Name the file: Your Name, MF Senior App 2005
8. Print the Scholarship Application Form. To avoid printing instructions and scholarship application guidelines, start printing at page #8.
9. Student must sign the Application form.
10. Student and parent/guardian must sign the Financial Need Information Form.
11. Submit your saved application form on a 3 ½" Floppy Disk and submit one printed copy of your application to the Foundation on or before 4:45 p.m. February 17, 2005. Applications received after this date will not be accepted. Note: Please label your 3 ½" Floppy Disk with your name and address.
Additional Information: Do not submit additional pages. Resumes will not be accepted.
MERRICK FOUNDATION, INC.
SCHOLARSHIP PROGRAM
2005-2006 ACADEMIC YEAR
QUALIFICATIONS & GUIDELINES
Please check all the scholarships you wish to apply for that fit your course of study and your particular community. To be considered for one of these scholarships, the following regulations must be met:
1) All scholarship recipients must be enrolled in an accredited college, university, technical or vocational school that qualifies as a tax-exempt institution.
2) All scholarships shall be for the purpose of tuition and fees required for enrollment or attendance at an educational institution or for books, supplies and equipment required for courses of instruction, under the policies of the school or educational institution. Room and board is not covered.
3) The funding of all scholarships will be made directly to the school of higher education and designated for the use of the specific student selected, upon verification of enrollment of the student.
4) If the scholarship recipient drops out before the end of the school term or for any reason does not use the full amount of this scholarship in the academic year for which it is awarded, the unused portion shall be returned to the Merrick Foundation, Inc. and placed in the appropriate scholarship fund.
5) All applicants are required to supply the Merrick Foundation, Inc. with a minimum of 2 confidential signed letters of recommendation. Some scholarships require specific people and/or more than 2 recommendations, see specific scholarship requirements. Letters can be used for multiple scholarships. Recommendation forms are available to use and can be completed and printed from our website (www.merrick-foundation.org) or obtained at our office. You may turn them in with your application or have your references send them to: Merrick Foundation, Inc., P O Box 206, Central City NE 68826
a) Person qualified to furnish a character reference (i.e. involvement in church, community, work or job related, etc.).
b) Educator who is familiar with your scholastic and leadership abilities as well as your achievements at the high school level.
6) All applicants are required to supply the Merrick Foundation, Inc. with an official transcript of work completed through your first semester senior high school level. (Must include school verification of your class rank and GPA)
7) Financial Need Information Form - Refer to the scholarship requirements to determine which scholarships are based on financial need. They are marked with an *.
8) Applications, including all attachments, must be postmarked no later than February 17, 2005, or if hand delivered, no later than 4:45 p.m. on February 17, 2005.
SCHOLARSHIP REQUIREMENTS - HIGH SCHOOL SENIORS
MERRICK FOUNDATION GENERAL SCHOLARSHIPS*
¨ Upper 1/2 of graduating class
¨ Merrick County resident or attending a Merrick County school
¨ Students enrolled in a 4-year course: two scholarships for students attending Palmer High School, two scholarships for students with Clarks addresses(preference), two scholarships for students attending Nebraska Christian High School, and two scholarships for students with Silver Creek addresses(preference), two scholarships for students with a Western Merrick County address(preference).
¨ Students enrolled in a 2-year course: one scholarship for a student attending Palmer High School, one scholarship for a student with a Clarks address(preference), one scholarship for a student attending Nebraska Christian high school, one scholarship for a student with a Silver Creek address(preference), and one scholarship for a student with a Western Merrick County address(preference).
¨ Four scholarships for students enrolled in a 4-year course attending Central City High School
¨ Two scholarships for students enrolled in a 2-year course attending Central City High School
¨ Based on (1) Good citizenship in school and community (2) Acceptable scholastic achievement (3) Evidence of perseverance toward goals (4) Financial need
¨ An essay (no longer than one single-spaced page) explaining your educational goals.
INDUSTRIOUS STUDENT SCHOLARSHIPS*
¨ 2.0 - 3.5 GPA or C to B+ average
¨ Any form of continuing education
¨ Paragraph stating why you are continuing your education, why this scholarship will benefit you, and why you have a financial need
¨ Resident of Merrick County
LEONARD & DORIS AERNI MEMORIAL SCHOLARSHIP
¨ Merrick County resident or attending a Merrick County school
¨ Handicapped graduating senior
¨ Essay of approx. 300 words explaining about handicap
¨ Pursuing a degree at a community college, technical school, or business school
¨ One renewable and one nonrenewable scholarship given
¨ Must reapply each year for renewable
KAREN & DANNIELLE BANNISTER MEMORIAL SCHOLARSHIP
¨ Graduating senior at Aurora, Central City, or High Plains Community high schools.
¨ Pursuing English major or minor - 4 year degree
¨ Letter of recommendation from English teacher
¨ GPA average or above
CHARLES BENNER MEMORIAL SCHOLARSHIP
¨ Central City high school senior with GPA of average or above
¨ Must have participated in FFA during high school
ERVIN & BONNIE BLAUHORN SCHOLARSHIPS*
¨ Three are given annually to high school seniors in Central City or Palmer with at least one going to a Palmer senior
¨ Upper 1/4 of graduating class
¨ Based on character, personality, general health, and financial need
¨ Applicant must be enrolled in a 4-year course
CENTRAL CITY CARE CENTER SCHOLARSHIP
¨ Resident of Merrick County
¨ Senior at Central City, High Plains, or Nebraska Christian High Schools
¨ Pursuing a career in the medical profession
MYRTLE AND JIM CLARKE SCHOLARSHIP*
¨ Based on academic grades or overall achievement outside school
¨ Otherwise lack the resources, including student loans, to continue education beyond high school
¨ Attending Central City or Nebraska Christian High schools
OR
¨ Resident of Clarks, Fullerton, Hordville, Polk, or lake areas south Central City
MARSHALL SUCK-COLLINS MEMORIAL SCHOLARSHIP
¨ Palmer High School senior
¨ Upper 1/2 of class
¨ Active in music program at Palmer High School
¨ 4 year course of study (first two may be in Community College)
JOEL HOLBROOK MEMORIAL SCHOLARSHIP
¨ Graduating senior at Central City high school
¨ Participated in Band all four years of high school
¨ Obtain separate application from high school guidance counselor
¨ See separate application for further guidelines
LES JOHNSON MEMORIAL SCHOLARSHIP
¨ Senior at Silver Creek/Silver Creek Consolidated high school
¨ Two letters of recommendation from high school teachers
¨ One-page essay stating personal, educational, & career goals
¨ Upper one-half of graduating class
¨ Preference will go to applicant who: (A) Intends to participate in intramural or intercollegiate athletics (B) Intends to seek degree in wildlife mgmt, forestry, or ag.
ALICE KLINGENBERG MEMORIAL SCHOLARSHIP
¨ Chapman addressed student
¨ Enrolled in 4 year course of study
BONNIE KOHL MEMORIAL SCHOLARSHIP
¨ Resident of Merrick County
¨ High School senior with a 3.5 GPA or higher and enrolling in Bachelor of Science in Nursing program, endorsements from one school official, one teacher, and any one of the following: minister, priest, scout leader, employer, coach, or other youth leader who has a personal knowledge of the applicant
¨ May be continued at the Board's discretion if applicant is continuing study for Nurses degree and maintains 3.0 GPA.
ROBERT & LILLIAN KRUG MEMORIAL SCHOLARSHIP
¨ High School senior with Merrick County address
¨ GPA average or above
¨ Active in Merrick County 4-H program for at least 4 years and/or an active member of a Merrick County FFA Chapter for at least 2 years
¨ Three letters of recommendation from teachers, pastors, or employers.
¨ Essay on how 4-H and/or FFA has benefited you to prepare for your future and why you are furthering your education.
CHARLES & ANN KUHLMAN MEMORIAL SCHOLARSHIP
¨ Resident of Chapman, Clarks, or Central City area and have attended a local high school
¨ Upper 1/3 of high school graduating class.
¨ Enrolled in 2 or 4 year course of study in agriculture or medical
¨ Essay required on professional goals and steps to achieve them
¨ Exhibit participation in his/her church and community
VERNIE L. LOCK SCHOLARSHIP
¨ Resident of Merrick County
¨ Beauty or Barber school
WARREN MARSH MEMORIAL SCHOLARSHIP*
¨ Resident of Merrick County
¨ Upper 1/4 of class
¨ Financial need
¨ First preference given to students in medical schools
¨ Second preference to other health-related disciplines
¨ If none available for first two preferences, given to other worthy candidates
RAY & MILDRED MILLER MEMORIAL SCHOLARSHIP
¨ Archer vicinity resident
¨ Two hand-written paragraphs describing what you have done to enhance the community, including school leadership roles, and why you have chosen your course of study.
¨ Letter of recommendation from a school official on general leadership and moral character.
ERNEST & PEGGY NABITY MEMORIAL SCHOLARSHIP
¨ Senior at Central City or Palmer
¨ 90% or above GPA
¨ Letter from Pastor verifying regular church attendance
¨ Two years of vocal music and/or band in high school
¨ Two letters of recommendation from any high school teachers
¨ Honesty, cooperation, good study habits, respect for others, and responsibility
DORIS E. NEEL MEMORIAL SCHOLARSHIP*
¨ Clarks, NE addressed student
¨ GPA of average or above
¨ A typed, single-spaced, 1 page letter stating career goals, why you are deserving of the scholarship, how you have demonstrated responsibility, maturity of judgment, high integrity and dependability.
¨ Enrolled in accredited college for 2 or 4 year term
¨ Paid in two semesters (second semester paid after receipt of transcript verifying 2.5 or above GPA from first semester)
¨ First choice to LPN or RN student
¨ Financial need
RALPH STANLEY AND ELLA HALSTEAD SEVERANCE MEMORIAL*
¨ Resident of Merrick County
¨ Traditional or Nontraditional student
¨ Financial need
¨ Two letters of recommendation from other than relatives
¨ Cover letter stating why you are continuing your education, why this scholarship will benefit you and why you have a financial need
¨ Renewable if student maintains minimum GPA required for graduation (transcript required)
WILLIAM AND EMMA STEFFEN NURSES SCHOLARSHIPS*
¨ Seniors at Merrick County high school
¨ Preference given to Nebraska accredited school of nursing students
¨ At least 12 credit hours per semester
¨ Above average GPA
¨ Leadership, social behavior, performance and financial need
¨ Paid by semester upon receipt of transcript verifying satisfactory performance
DYLAN VAN PELT MEMORIAL SCHOLARSHIP
¨ Merrick County or Aurora, Nebraska address
¨ Persevered to overcome a disability
¨ 300 word essay about disability and how you demonstrated perseverance, high character, and high effort to overcome it, why you would be a deserving recipient, what your major will be, and why you chose it
¨ Top three chosen by the scholarship committee will be reviewed by Van Pelt family
AUSTIN & CLEO VANDERFORD SCHOLARSHIP*
¨ Senior at any high school in Merrick County
¨ Based on student's ability, work habits, GPA, and financial need
CLINTON M. WEGNER SCHOLARSHIPS*
¨ Palmer High School senior
¨ Renewable upon receipt of transcript showing 2.5 GPA maintained and class schedule for next semester
¨ Upper 1/2 of graduating class
¨ Demonstrate financial need (Complete financial form each year)
EDNA I. WIDMAN MEMORIAL SCHOLARSHIP*
¨ Senior at Central City High School
¨ Enrolled in a college or technical school
¨ Financial need
LEANNE ZMEK MEMORIAL SCHOLARSHIP*
¨ Hair stylist enrolled in beauty or barber school
¨ Senior at Merrick County high school
¨ Financial need
¨ Available only if income is not awarded to girls softball teams in Clarks, Archer, Chapman, and Central City areas
RETURN TO: MERRICK FOUNDATION, INC.
1530 17th AVE, P O BOX 206
CENTRAL CITY, NE 68826
Phone: 308-946-3707
Website: www.merrick-foundation.org
APPLICATION FOR SCHOLARSHIP ASSISTANCE
FROM THE MERRICK FOUNDATION, INC.
Use only this form ─NO variations will be accepted.
Personal Data
Name: Social Security # //
Street: City: State:Zip:
Phone # ()- Birth date (mm/dd/yy): //
Both parents' names & address(es)(names only if address the same as above):
Father:
Mother: