Karen Moeller Scholarship For Lakota Students

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1 Karen Moeller Scholarship Purpose Karen Moeller was a teacher for over 30 years; 18 of those years were in the Lakota District. She taught at Adena Elementary and Shawnee Elementary. Karen was not only an outstanding teacher, but a great person who everyone loved and admired. She won the David Thiel Award which recognizes kind, caring, and giving community members in Lakota. The Karen Moeller Scholarship will be awarded annually to seniors from Lakota West and/or East High Schools. The scholarship will be based on the applicants academics and contributions to Lakota and his/her community. The applicant should be dedicated to learning and service. Eligibility In order to qualify for the Karen Moeller Scholarship, the applicant must be a senior at either Lakota West High School or Lakota East High School who is graduating with a GPA of 3.0 or higher and going to college in the fall. How to Apply 1. Write an essay on one of the given topics. 2. Provide two (2) recommendations. 3. Complete the application form. Timeline 1. Application deadline is January 31, Completed application and materials (essays, transcripts, recommendations) should be mailed to the address below: The Community Foundation of West Chester/Liberty Attn: Karen Moeller Scholarship 8366 Princeton-Glendale Rd. Suite A2 West Chester, OH All application materials (essays, transcripts, recommendations) must be submitted together, with this application form. Incomplete submissions will not be considered. All applications must be postmarked on or before January 31, At this time, the Foundation is unable to accept applications via fax Award There will be two (2) $1,500 scholarships awarded. Up to five (5) additional $500 scholarships MAY be awarded at the discretion of the Karen Moeller Scholarship Fund Committee. Selection A committee consisting of three (3) family members, a Lakota teacher, a Lakota counselor, and a Lakota administrator will determine the recipient(s) of the awards. The scholarships will be awarded at the May Senior Awards Assembly. The scholarship will be paid directly to the college/university of the recipient s choice.

2 Karen Moeller Scholarship Application 2 - $1,500 Scholarships to be awarded Name Address Telephone Parent/Guardian Name: Phone: Are you a U.S. Citizen? Yes No GPA (3.0 or higher) Class Rank High School Junior High School Elementary School Did you have Mrs. Moeller? (not a requirement) Y College Attending Field of Study: N Place Photo Here Briefly, give some details of your extra-curricular activities, volunteer work, clubs, etc.

3 Karen Moeller Scholarship Application Write an essay ( words) on ONE of the following topics: (You may attach your essay.) 1. Tell us about a person who has influenced your life in a significant way. 2. Write about a life experience that has influenced your personal growth. 3. Discuss how some negative experience has had a positive influence on your life. 4. Why are you choosing to go into education? 5. Name a specific Lakota teacher or teachers who have influenced you? 6. How has cancer affected your life or family?

4 Karen Moeller Scholarship Recommendation Thank you for taking time to complete this recommendation for the 2017 Karen Moeller Scholarship. Your thoughts and opinions are very important to us. The applicant must be a senior at either Lakota East or Lakota West who will be attending college in the fall of We would like to have your thoughts and observations on the applicant s character, integrity, leadership, and contributions to his/her peers, school, and community. Recommendation for Your name Title Phone Address How long have you known the applicant? Why do you feel the applicant is an excellent candidate for the Karen Moeller Scholarship? (please feel free to attach your letter) Signature Date.

5 Karen Moeller Scholarship Recommendation Thank you for taking time to complete this recommendation for the 2017 Karen Moeller Scholarship. Your thoughts and opinions are very important to us. The applicant must be a senior at either Lakota East or Lakota West who will be attending college in the fall of We would like to have your thoughts and observations on the applicant s character, integrity, leadership, and contributions to his/her peers, school, and community. Recommendation for Your name Title Phone Address How long have you known the applicant? Why do you feel the applicant is an excellent candidate for the Karen Moeller Scholarship? (please feel free to attach your letter) Signature Date