**Complete this form online, print out, sign and return to Student Services.**
PURPOSE:
Ethel “Tootie” Carew, mother of Hilbert Middle School teacher Mr. Dan Carew, passionately taught second grade students for seventeen years. During her career and throughout her life, she instilled a love of learning with whomever she met. Tootie was a thoughtful, compassionate, and kind person who had a flair for writing poetry and short stories. Her creativity was endless and her dedication to her family, friends, and students was unmatched. Mr. Carew would like to continue to celebrate his mother’s life by offering a $100.00 scholarship in her memory.
Full Name:
Full Address:
I am planning to attend the following school:
My major area of study will be:
CRITERIA:
1. Class Rank: of 23 students Cumulative GPA:
(after 7 semesters) (GPA from all 4 years of high school-after 7 sem)
ACT Cumulative Score:
2. Applicant must be a graduating Hilbert High School senior planning to attend any accredited college, university, or technical college as a full-time student.
1. COMMUNITY SERVICE/VOLUNTEER WORK:
2. EXTRA-CURRICULAR ACTIVITIES: (e.g. sports, arts, etc.)
3. HONORS & AWARDS – ACADEMIC:
4. FULL OR PART-TIME WORK EXPERIENCE: (place, period of time, responsibilities)
5. APPLICANT’S STATEMENT of not more than 200 words should include the following information:
a. Who are you? Tell us about yourself.
b. Who and what inspires you?
The student selected will be announced at the Academic Awards Banquet in May. A check will be sent to the recipient after the completion of the fall semester and after the Hilbert High School Student Services Office has received the following two documents: 1.) a report card from the post-secondary school that proves the student took at least 12 credits and earned at least a 2.5 grade point average on a 4.0 scale; 2.) proof of registration as a full-time student for the spring semester.
Date: ______Signed: ______
Application deadline is March 1st