NASCOE Scholarship Application

PERSONAL INFORMATION
Name: / Phone #:
Address 1: / Email:
Address 2:
City: / State: / Zip:
Father: / Occupation:
Address 1: / Company:
Address 2:
City: / State: / Zip:
Mother: / Occupation:
Address 1: / Company:
Address 2:
City: / State: / Zip:
Which Family member is a NASCOE Member?
FSA County Office Telephone Number of NASCOE Member:

I certify that the above listed NASCOE member has been a paid member for the past 5 consecutive years or if less than 5 years, continuous membership has been maintained since becoming a NASCOE Member within the first 12 months of becoming a permanent employee. I certify that the NASCOE member is a permanent County Office employee, not an associate member, with dues paid.

Signed:
State Association Certifying Official

As a NASCOE member (circle one) member/parent/guardian, I certify that for the past 5 consecutive years or if less than 5 years, continuous membership has been maintained since becoming a NASCOE Member within the first 12 months of becoming a permanent employee, I have been a member in good standing, including the current year.

Signed:
Member/Parent/Guardian

This award may only be used to defray expenses for a student at an accredited school. Applicants must be a NASCOE member, member’s spouse, member’s child, or member’s legal dependent. The NASCOE member’s dues must be paid and membership kept current for the past 5 years, or if less than 5 years, continuous membership has been maintained since becoming a NASCOE Member within the first 12 months of becoming a permanent FSA County Office Employee. The evaluation criteria are based on ability, incentive assistance, and other personal characteristics. Nominations for Scholarships are competitive. Area winners are selected from State entries. The National winner is selected from Area winners. The time schedule contained in the NASCOE Awards/Scholarships booklet must be followed.

Items needed to complete this application:

NASCOE SCHOLARSHIP APPLICATION CHECKLIST

ELIGIBILITY:

1. Applicant may be either a high school senior or graduate with a minimum of a C average in both the

Junior and Senior year or may be a full-time (minimum of 12 credit hours) college student with a minimum of a C average up to the Bachelor Degree level.

INSTRUCTIONS:

1. COMPLETE THIS APPLICATION IF YOU MEET THE CRITERIA ABOVE AND ENSURE ALL SIGNATURES HAVE BEEN OBTAINED. YOUR APPLICATION MUST BE RECEIVED BY YOUR STATE SCHOLARSHIP CHAIRPERSON NO LATER THAN FEBRUARY 20TH.

2. Include an Official transcript (New! A scanned copy is acceptable! Please use a permanent marker prior to scanning to ensure any sensitive data – i.e. Student ID and/or Social Security number are not readable by anyone) of your high school grades. If you are a college student, include an Official transcript (New! A scanned copy is acceptable! Please use a permanent marker prior to scanning to ensure any sensitive data – i.e. Student ID and/or Social Security number are not readable by anyone) of your grades. College students may include a high school transcript if they wish to have them considered for rating. All applicants must submit a letter of recommendation (New! A scanned copy is acceptable!).

3. ALL grade point averages must be on a 4.0 scale. Letter or numerical grades shall be converted by your counselor.

4. Area winners will be asked to submit a recent color photograph. NOTE: A photo is not required at the time of application, ONLY if you are announced as the Area winner.

5. PLEASE type or print legibly in ink.

6. Keep a copy of this application for your records.

PLEASE MAKE SURE ALL OF THE FOLLOWING ARE ATTACHED OR ENCLOSED, AS

REQUIRED, WITH YOUR APPLICATION. FAILURE ON YOUR PART TO PROVIDE THE

REQUIRED INFORMATION MAY RESULT IN YOUR APPLICATION NOT BEING CONSIDERED!

______COMPLETED APPLICATION (PAGES 1 THROUGH 6)

______HIGH SCHOOL TRANSCRIPT and/or COLLEGE TRANSCRIPT

______ALL REQUIRED SIGNATURES

______LETTER(s) OF RECOMMENDATION

Please use the additional pages to complete your application. As a reminder to all potential NASCOE Scholarship Applicants: The NASCOE Awards and Scholarships handbook states that applicants can include extenuating circumstances that may prevent them with being able to excel in all of the elements that the judges will score on. Disability, Family Hardship, or any other issues can and should be included in you application and will be taken into consideration by the Area and National Judges.

WORK EXPERIENCE
(Do you intend to work prior to and during the summers of your college career and/or while in college? Please list your past work experience i.e. dates of employment, from (month/year)/to (month/year), job title and the job description) Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
Scholastic Career: High School
(Schools(s) attended, dates attended, graduation date and final grade point average. Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.

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Have you Applied for Admission to a College, University or Trade School?
Please state the name of the learning institution(s) you have applied for and if you have been accepted for enrollment. Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
Scholastic Career: College/University/Trade School
Schools(s) attended, dates attended, current grade point average, and if you have declared a major field of study – If so, please explain why you have chosen this particular field of study. Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
Scholastic Honors:
Please list any scholastic honors and/or awards. Briefly describe the honor(s) and/or award(s) you received and why you were chosen by your peers, facility, or organizations to receive it/them) Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
Membership in Scholastic Organizations:
Please include any office or position of leadership held. Briefly describe the organization, your position within the organization and why students are chosen to be members/leaders of the organization. Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
School Related Extracurricular Activities:
Please list year(s), name of activity, nature of activity (sports/clubs/organizations), office(s)/positions held and Award Honors) Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
Non-School Related Community Service Activities
Please list the year, name of activity, nature of activity, office held if any, and awards or honors received. Also please let the judges know it you have any extenuating circumstances that prevent you from being able to excel in this area.
Signed:
Student/Applicant

III. SCHOLARSHIP PROGRAM

ELIGIBILITY

The applicant must be a NASCOE member, member’s spouse, member’s child, or member’s legal dependent (per IRS definitions). The NASCOE member must be a permanent County Office employee, not an associate member, with dues paid. The NASCOE membership must be current for the past 5 years or if less than 5 years, continuous membership has been maintained since becoming a NASCOE Member within the first 12 months of becoming a permanent employee (8th Amendment; updated September 26, 2012). The NASCOE member who retires or transfers within the Agency during the Scholarship Year (September 1 to August 30) must have their entire NASCOE dues paid to the NASCOE Treasurer, regardless of dues withholding. (4th Amendment: Updated March 5, 2001) Applicants may only win once at the Area and National levels.

An applicant may only win one (1) time at the Area level.

The applicant may be either a high school senior or a full-time college student, up to the Bachelor

Degree level. Full-time is defined as a minimum of 12 credit hours. A minimum of a “C” average

(using the 4.0 system) in both their junior and senior years of high school or as a college student is

required.

All applications may be hard copies with appropriate signatures or may be electronically submitted applications with the appropriate electronic signatures and attachments.

CERTIFICATION

The application MUST be certified as eligible by an Approving Official of the State Association. The State Scholarship Chairperson can be the approving official. (5th Amendment: Updated October 10, 2009)

NASCOE SCHOLARSHIP YEAR

The NASCOE Scholarship Year shall be established the same as the NASCOE year for Service by Officers – September 1 to August 31. (4th Amendment: Updated March 5, 2001)

USE OF AWARD

This award must be used to defray expenses incidental to the student’s attendance at a four-year college, university, community college or commercial or trade school which is accredited by the Department of Education of that State.

THE AWARDEE MUST SATISFACTORILY COMPLETE AT LEAST ONE SEMESTER OF SCHOOLING OR RETURN THE MONEY!

EVALUATION CRITERIA

All sources of information concerning each applicant will be considered: school records (transcripts); employment history; work experience; extenuating circumstances and reference letters. All applicants will be evaluated on the basis of:

1.  ABILITY: This shall include both mental and physical factors which might affect the applicant’s ability to benefit by further education. This will be judged by available school records and any other information which may reflect on the student’s ability.

2.  INCENTIVE ASSISTANCE: All pertinent information relative to the student’s desire to continue his/her education to obtain a degree will be considered.

3.  OTHER PERSONAL CHARACTERISTICS: Any other personal characteristics such as initiative industry, persistence, leadership ability, personal and social adjustment which might affect student success will be considered.

JUDGING PROCESS

ALL APPLICATIONS MUST BE FORWARDED TO THE AREA SCHOLARSHIP CHAIRPERSON NO LATER THAN MARCH 1st. You may mail the Original hard copy or submit the electronically submitted application with the appropriate electronic signatures and attachments to your Area Chairperson.

YOUR 2013 AREA SCHOLARSHIP CHAIRPERSONS:

MWA NEA NWA

Stacy Helbert Kelly Sundy Betty Snell

14252 Shooting Star Drive RR 5 Box 5030A 6975 Hannegan Rd

Noblesville, IN 46060 Towanda, PA 18848-9354 Lynden, WA 98264

SEA SWA

Brittany Turner Rachel Roberts

3032 Alvey Park Drive West, Ste 1 115 W 17th St

Owensboro, KY 42303 Lyndon, KS 66451

AREA LEVEL RESPONSIBILITIES:

DESIGNATION

The Area Scholarship Judging Committee shall be appointed by the Area Executive Committeeperson. This Committee shall consist of at least three (3), but no more than five (5) NASCOE members from that Area.

TIME OF SELECTION

The Area Scholarship Judging Committee shall make the Area selection(s) by MARCH 30th.

SELECTION PROCEDURE

The Judging committee will use the Score Sheet posted on the NASCOE web page to make their selections. The Area Scholarship Chairperson will tabulate all the points for all applicants. The Area Scholarship Chairperson contacts the winner and announces the winner at the Area Rally.

TIE VOTES AT THE AREA LEVEL

If a tie vote occurs at the Area Level, the Area Chairperson shall break the tie by judging the applications that are tied.

SUBMISSION OF SELECTION(S)

The Area Scholarship Chairperson shall forward the original hard copy or the electronically submitted version of the entire application of the Area winner’s application to the National Awards chairperson no later than APRIL 15th.

NATIONAL LEVEL RESPONSIBILITIES:

DESIGNATION

The Selection Committee for judging at the National level will be the Area Executive Committee members.

TIE VOTES AT THE NATIONAL LEVEL

If a tie vote occurs at the National Level, the National Chairperson shall break the tie by judging the applications that are tied.

TIME OF SELECTION

The National Selection Committee shall make the National winner selection by MAY 30th.

NATIONAL CONVENTION

The NASCOE President and the National Scholarship Chairperson shall make arrangements for the presentation of certificates for the Area winners and the National winner at the National Convention.

PHOTOGRAPHS

Photographs of the Area winners and the National winner will be on display at the National Convention. The Area winners will be a 5” X 7”’ color photo. NASCOE will pay up to $10.00 toward the Area winner’s photo. The National winner’s will be an 8” x 10” color photo. NASCOE will pay up to $30.00 toward the National winner’s photo. Bills must be submitted to the NASCOE Treasurer in order to be reimbursed for the cost. ALL photographs become the property of NASCOE. (5th Amendment: Updated October 10, 2009)

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