P.O. Box 608 – 126 N. Main St. – Marysville, Ohio 43040 – (937) 642-9618 – FAX (937) 642-7376

The Stolte Excellence In Leadership Scholarship 2009

$1000 SCHOLARSHIP AWARD

Eligibility Criteria

Eligibility criteria define which students will be eligible to apply or receive the scholarship:

  • Graduating UnionCountyHigh School senior students (Marysville, North Union, Fairbanks)
  • Applicants must be scheduled for enrollment in an Ohiofour-year post-secondary accredited college or university.

Selection Criteria

Scholarship recipients will be chosen on the basis of the following:

  • Character
/
  • Financial Need

  • Academic Potential
/
  • Essay on leadership

  • Leadership Potential

APPLICANT INFORMATION

A. INSTRUCTIONS - TURN COMPLETED APPLICATION & DOCUMENTATION INTO THE UNION COUNTYFOUNDATION (ATTENTION DAVE VOLLRATH) BY APRIL 13TH, 2009

The Application must be completed in full and include the following documentation:

  1. One letter of recommendation from persons other than relatives.
  2. Photocopy of ACT or SAT scores. (Provided by Guidance Dept.)
  3. Transcript of high school grades including GPA. (Provided by Guidance Dept.)

B. PERSONAL DATADATE

Name in Full

LastFirstMiddle

Home Address

StreetCity

Parents/guardian

StateZip

Home Phone: Birth date: ______Email: ______

# of Brothers(ages:) # of Sisters(ages: How many others from your household will be attending higher education in the next year?

Are you a citizen of the United States? YesNo(If no, what country______)

C. EDUCATIONAL BACKGROUND

Date of GraduationCourse taken

Rank in classApproximate # in class

D. PROPOSED COURSE OF STUDY

What degree are you pursuing with the assistance of this scholarship?

Name and address of proposed college/educational institution

NameStreet AddressCityZip

How many years in school are required to complete the degree work you are pursuing?

If you have already begun this degree program, what year have you just completed?

Will you be a full-time or a part-time student?

Beginning date of classes ______

E. PERSONAL STATEMENT

Use this space to give additional information about your ambitions, goals, background, community service, and financial need, which would assist the committee in judging you for this scholarship. (Avoid restating information previously given on this application.)

(Note: Any additional information may be added on a supplementary sheet.)

______

______

F. SPECIAL CIRCUMSTANCES: Explain any special circumstances that support your need for this scholarship ______

G. RECORD OF EXTRA-CURRICULAR ACTIVITIES:

Include school and community activities and honors. Check in the spaces provided the school year(s) in which you participated in each activity. (Attach additional sheet if necessary)

NAME OF ACTIVITY9TH10TH11TH12THOFFICES & HONORS

______

______

______

Work experience including present employment ______

______

Essay on Leadership:

  • 400-450 words (Can submit on separate sheet)
  • Identify leadership traits in others that you have observed or experienced
  • Provide your explanation or understanding of those leadership traits
  • Describe how and/or why you or others respond to those identified leadership traits

______

______

______

______

______

SIGNATURE: ______Contact # ______

UnionCounty Foundation – Preserving Your Footprint In Time – ServingUnionCounty since 1953.

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