Shawnee Mission Education Foundation
Cliff Bath Scholarship
For Excellence in Restaurant Hospitality
2016 Application
The Cliff Bath Scholarship is awarded annually to senior Shawnee Mission culinary arts students who demonstrate the qualities and aspirations of excellence exemplified by Kansas City chef and restaurateur Cliff Bath. Multiple scholarships of varying amounts may be awarded.
Criteria: Currently enrolled Shawnee Mission senior.
Cumulative unweighted GPA of 2.5 or better.
Applicants must complete 2 years of culinary arts coursework and achieve transcript
designation “emphasis in culinary arts.”
Submission: To Foundation office via email to
No later than Tuesday, March 1, 2016 by 3:00 pm. Late applications will not be accepted.
Essay required with application.
Selection: Application reviewed by community members/friends of Cliff Bath. Applicant interviews may be conducted.
Date: Click here to enter text.
Name: Click here to enter text.
Address: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Date of Birth: Click here to enter text.
High School: Click here to enter text. Unweighted GPA: Click here to enter text.
Submit transcript with application.
What is your field of interest(s) in the Restaurant Hospitality industry?
☐ Chef ☐ Pastry Chef ☐ Restaurateur ☐ Maitre D’
☐ Catering ☐ Corporate Cher ☐ Front of House Manager ☐ Sommelier
List any special skills you have or special training you have received.
Click here to enter text.
List awards, commendations or certificates you have received.
Click here to enter text.
List group or club activities in which you are involved.
Click here to enter text.
List hobbies or special interests you have outside of school related activities.
Click here to enter text.
Work History: List your last three places of employment. Include contact information.
1. Dates of Employment: From/To Click here to enter text.
Name of Business: Click here to enter text.
Address: Click here to enter text.
Phone: Click here to enter text.
Position: Click here to enter text.
Reason for leaving: Click here to enter text.
Salary: Click here to enter text.
Contact Name: Click here to enter text. Phone or email: Click here to enter text.
2. Dates of Employment: From/To Click here to enter text.
Name of Business: Click here to enter text.
Address: Click here to enter text.
Phone: Click here to enter text.
Position: Click here to enter text.
Reason for leaving: Click here to enter text.
Salary: Click here to enter text.
Contact Name: Click here to enter text. Phone or email: Click here to enter text.
3. Dates of Employment: From/To Click here to enter text.
Name of Business: Click here to enter text.
Address: Click here to enter text.
Phone: Click here to enter text.
Position: Click here to enter text.
Reason for leaving: Click here to enter text.
Salary: Click here to enter text.
Contact Name: Click here to enter text. Phone or email: Click here to enter text.
References: Please list four persons outside your immediate family who can be used as references.
1. Name and Relationship: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Years known: Click here to enter text.
2. Name and Relationship: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Years known: Click here to enter text.
3. Name and Relationship: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Years known: Click here to enter text.
4. Name and Relationship: Click here to enter text.
Phone: Click here to enter text. Email: Click here to enter text.
Years known: Click here to enter text.
Please print Authorization Page for signatures. Once signed, scan and submit this page as a separate attachment with your application.
AUTHORIZATION:
I certify that all the information I have provided is true and complete to the best of my knowledge and that this information, in whole or in part, will be used to determine if I am eligible to be awarded the Cliff Bath Scholarship for Excellence in Restaurant Hospitality. I also understand that if any of the information proves to be false or misleading I will not be eligible for any funding or it may be revoked if it has already been granted. I authorize the investigation of all the information contained in this application. I understand all information will remain confidential to be used for application review purposes only.
______
Applicant Signature Date
______
Parent or Legal Guardian, if Applicant Date
is under 18 years of age
Continue to Essay on Page 4.
Essay: Please tell us about yourself, your goals and why you feel you should be awarded the Cliff Bath Scholarship. Text box below will expand as you write. Essay must not exceed one page.
Click here to enter text.
Cliff Bath Scholarship 2016
Shawnee Mission Education Foundation Page 1
7235 Antioch | Shawnee Mission, KS 66204
913.993.9360 | www.smef.org