Thomas N. and Juanita A. Bos Family Scholarship Application

Thomas N. and Juanita A. Bos Family Scholarship Application

Thomas N. and Juanita A. Bos Family Scholarship Application

A Scholarship Fund of the Allegan County Community Foundation

The Bos Family Scholarship was established in 2007 by Thomas N. and Juanita A. Bos to provide financial assistance to persons pursuing a career in teaching or registered nursing at Western Michigan University. Each year one $750.00 nonrenewable award will be made to a Hamilton High School graduating senior.

Thomas is a graduate of Western Michigan University with a Bachelor Degree in Mathematics and a Master Degree in Secondary Education Administration. Juanita is a graduate of the Hackley School of Nursing in Muskegon. During their 46 years of residence in Hamilton, Tom and Nita have raised four children and welcomed sixteen grandchildren. Tom spent 34 years at Hamilton High School as a mathematics teacher, twenty-one years as Athletic Director and six years as Assistant Principal. Nita spent thirty years as a registered nurse. Together their passion for education is evident in their professions and their loyalty to the Hamilton community.

The Bos Family scholarship is to be used to defray college costs (tuition, books, room/board) in the student’s freshman year at Western Michigan University.

Eligibility

  • Applicants must be a Hamilton High School graduating senior who has attended HHS in their junior and senior years
  • Applicants must carry a minimum GPA of 3.0
  • Applicants must have participated in an organized sport for at least two years and exemplify leadership and good citizenship
  • Applicants must intend, and be accepted as, a full time student at Western Michigan University
  • Applicants must be pursuing a career in teaching or nursing

Instructions

  1. Applications can be downloaded from the Allegan County Community Foundation website at: or emailed, send request to: .
  2. Include 1 (one) official copy of your high school transcripts.
  3. Include 2 (two) letters of reference. References must be written by a non-family member such as: a faculty member (only one letter can come from faculty), employer, pastor, etc. (See Scholarship Recommendation Form at end of application.) Note Recommendation due date; February 25th.
  4. Please enter the last 4 digits of your social security number on each page of the application. Your name should appear on the application cover sheet only.
  5. Please read and follow the directions on the application. Completed applications are due in the Foundation office by March 1st. No email applications will be accepted; applications must be mailed or delivered to:

Allegan County Community Foundation

Attn: Bos Scholarship

524 Marshall St.

Allegan, MI 49010

Thomas N. and Juanita A. Bos Family Scholarship Application

A Scholarship Fund of the Allegan County Community Foundation

COVER SHEET

Application must be typed. To download application from website, go to: . To request by email, send request to .

APPLICANT INFORMATION

Name: (last, first, middle)

Permanent Address: (street, city, zip)

Telephone: Cell Phone #:

Male: Female: Date of Birth:

FAMILY INFORMATION

(Applicant resides with)

Name:

Relationship:

Schools under consideration: (1)

(2)

Acceptance Status - school #1: ( ) Accepted( ) Pending( ) Enrolled

Acceptance Status - school #2: ( ) Accepted( ) Pending( ) Enrolled

How will your schooling be paid for?

If you have your college student ID, please provide #:

Curriculum you intend to major in:

I certify that all the statements and information provided in this application are true, complete and correct to the best of my knowledge.

______

SignatureDate

Last four digits of social security number:

Last four digits of social security number:

Please answer the following (insert answer below keeping your response to one page or less):

Please tell us about yourself; what are your personal and professional goals? What do you want us to know about you? Why do you merit being named the Bos Scholar?

START NEW PAGE – DO NOT ALLOW ESSAY ANSWERS TO OVERLAP THIS PAGE.

Last four digits of social security number:

Please provide the following information.

1. List your participation and/or membership in school-related or extra-curricular groups (clubs, student government, band, sports, church, etc.), leadership positions held, the approximate number of hours you participated and the grade you were in when you participated.

Activity / Position / Hours participated / Grade
EXAMPLE: Choir / Participant / 2 hours/wk; 25 weeks / 10,11,12
  1. List any work experience you may have. Include employer, job responsibilities, dates of employment and approximate number of hours worked per week.

Employer / Responsibilities / Dates of Employment / Hours worked
per week
EXAMPLE: Meijers / Cashier / 2/13/2005 – 9/1/2005 / 4-6
  1. List other scholarships or grants you have applied for and designate each as “received” or “pending.”

Scholarship/Grants Applied For / Received or Pending
EXAMPLE: Margaret Allen Scholarship / pending

Last four digits of social security number:

4. List your community service involvement. Identify the organization, task, amount of hours spent on the task, the frequency of the task and when you performed this community service.

Organization / Task / Hours spent / Frequency / When
EXAMPLE: American Red Cross / Blood drive / 3 / Two times / March 2004 and 2005

REMINDER

* Include 1 (one) official copy of your high school transcripts.

* Include 2 (two) letters of reference. References must be written by a non-family member such as: a faculty member (only one letter can come from faculty), employer, pastor, etc. (See Scholarship Recommendation Form at end of application.)

* Sign application prior to submitting.

* Submit 6 copies, 3 hole-punched of your completed application.

* Do not staple; paperclips and clamps only. No binders or folders.

* Deadline for submission: March 1st

Thomas N. and Juanita A. Bos Family Scholarship Application

A Scholarship Fund of the Allegan County Community Foundation

Scholarship Recommendation Form

Applicant Instructions: Fill in Applicant Section prior to giving this form to the person(s) you have asked for a recommendation.

APPLICANT SECTION

Applicant Name: ______

Address (City/zip):______

Home phone: ______

REFERENCE SECTION

Reference/Recommender Instructions: The student named on this form is applying for a scholarship and has asked you to provide the Allegan County Community Foundation with any information you feel would be helpful in reviewing his/her application. You may be assured that the information provided will be kept confidential. This form and accompanying reference letter needs to be returned to the student in a sealed envelope no later than February 25th. If you are unable to meet this deadline, please notify the applicant so that he/she may secure another reference.

______

Name of ReferencePhone

______

Signature of ReferenceDate

______

Relationship to applicant

Please address the following when creating your one-page recommendation: Describe the qualities and characteristics you feel set this student apart. Share any special circumstances you feel are relevant. Discuss this student’s leadership abilities and personal traits that you have witnessed that suggest this student will succeed in their chosen profession. Please sign your letter and be sure to return it in a sealed envelope to the applicant by February 25th.

If you have questions, please contact the Allegan County Community Foundation: 673.8344.

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2008 Bos Scholarship Application