Southwest Mutual Aid Fire District

SCHOLARSHIP APPLICATION CRITERIA

APPLICATION CRITERIA-REQUIRED

*Nebraska Resident

*Full time Nebraska senior high school student, or currently attending college.

*Minimum Grade Point Average of 2.0

*Acceptance into a college or trade school as a full-time student in his/her field of study

*Parents or Guardians are current members of the Southwest Mutual Aid Fire District

*Only students or parents that live in the SW Mutual Aid District qualify for this scholarship

*Summit two (2)Letters of Recommendation (excluding immediate family members)

*In 500 words or more (TYPED): Explain his/her educational goals and career objectives.

AMOUNT:

*ONE (1) $500.00 Scholarship will be given. People/person chosen to receive the scholarship will receive a check directly from the Chairman of the scholarship committee at the FebruaryMeeting of the Southwest Mutual Aid Fire District and will be notified of the date, time, and location of that meeting.

SELECTION OF RECIPIENTS:

The scholarship recipients will be selected by a THREE (3) Member Scholarship Committee that is selected annually by the President of the Southwest Mutual Aid Fire District.

TO REQUEST APPLICATION:

Contact:Ralph Moul-Committee Chairman

20 Sandy Beach Paradise Lemoyne, NE 69146

308.355.3801

APPLICATION DEADLINE:

December 31, 2012

SUMMIT APPLICATION TO:

Ralph Moul

20 Sandy Beach Paradise Lemoyne, NE. 69146

308.355.3801

The Southwest Mutual Aid Fire District does not discriminate on the basis of race, color, religion, sex, marital status, national origin, ancestry, veteran status or disability in the administration of its scholarships.

Omission of any criteria requirements will result in your application being discarded, please be sure to include all requested information.

Southwest Mutual Aid Fire District

SCHOLARSHIP APPLICATION

NAME:

(LAST)______(FIRST)______

CURRENT ADDRESS:______

CITY:______STATE:______ZIP:______

PHONE:( )______( )______

HOME WORK

HIGH SCHOOL OR COLLEGE ATTENDING______

DATE OF HIGH SCHOOL GRADUATION:______

GRADE POINT AVERAGE______

SCHOOL ACTIVITIES AND YEARS INVOLVED:______

______

HONORS/AWARDS:______

LEADERSHIP POSITIONS/YEARS SERVED:______

ATHLETICS:______

VOLUNTEER ACTIVITIES/ORGANIZATIONS:______

COLLEGE ATTENDING OR APPLICATION MADE TO:

COLLEGE:______

ADDRESS:______

CITY:______STATE:______ZIP:______

INTENDED PROGRAM OF STUDY:______

DATE OF ENROLLMENT:______

PLEASE INCLUDE A 500 WORD-TYPED-STATEMENT OF YOUR EDUCATIONAL OBJECTIVES AND CAREER GOAL, 2 LETTERS OF RECOMMENDATION, GRADE POINT AVERAGE IN HIGH SCHOOL OR COLLEGE.

______

(Signature) (Date)

Thank you for applying for this scholarship through the Southwest Mutual Aid Fire District and good luck with your future college goals.