HUMBOLDT COMMUNITY SCHOLARSHIP PROGRAM

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1 HUMBOLDT COMMUNITY SCHOLARSHIP PROGRAM Eligibility: High School seniors who plan to attend some type of school during the school year immediately following their high school graduation. Scholarship recipients are selected without regard to gender, race, national origin, creed, age, marital status, or disability. The procedure for applying for the scholarships listed on the following page is as follows: 1. Complete the scholarship program application form which is located in the public folder in the Teacher Assignments. The application is located in the Guidance folder. Type the information requested on the form. 2. Attach a billfold size photo of yourself. 3 In fifty to one hundred words tell why you should be considered for a scholarship. Include information about your financial need in as much detail as you deem appropriate. The statement of need should include but not necessarily be limited to: an explanation of how you plan to finance your education, to what part of your college expenses you would apply any scholarship money, and whether or not the receipt of a scholarship would be a factor that might determine your ability to go to college. Be certain that your name is in the upper right hand corner of the paper. 4. Also, list school, community service, and church activities. Include any offices, titles, and/or honors. You may also include work experience, especially location of work, number of hours per week, and dates of employment. 5. Print and submit the application form and accompanying material to your high school counselor by February 1st. Answer all questions. If an item does not apply, type NA or Not Applicable in that space.

2 The scholarships for which you are applying are as follows: Adams Post #119, American Legion...$250 (2) Adams Post #119, American Legion Auxiliary...$250 Al Hadar Memorial Scholarship...$500 (2) Andy Allen Memorial Scholarship...$500 Community Chorus...$200 (5) Dakota City Quasquicentennial...$250 Dakota City Worth While Club Herb Zinnel Jr. Scholarship...$250 Margaret Waters Memorial Scholarship...$300 Friends of David Law Memorial Scholarship...$1,000 Gotch Wrestling Club Butch and Sally Dreyer Scholarship...$300 Frank Gotch Scholarship...$300 Ken and Colleen Abens Memorial Scholarship...$300 Wildcat Wrestling Club Scholarship...$300 Humboldt Area Arts Council Scholarship...$300 (2) Humboldt Business and Professional Women...$300 Humboldt Community School District Bernice Bradley Smith Memorial Scholarship...$1,000 Bertha Petersen Scholarship...$325 Bette L. Newton Scholarship...$500 Castle Theater Scholarship...$400 Clyde D. and Nira E. Mease Scholarship...$250 Daniel Rusher Memorial Scholarship...$250 Doryce Cramlet/Nellie Schnoor Scholarship...$1,000(2) Evelyn Griffin Scholarship...$1,100 (5) Esther V. Hansen Scholarship...$450 Fred W. and Loreen Klasse Scholarship...$350 (2) Harry Reasoner Educational Trust...$175 Howard G. and Ruth A. Louthan Memorial Scholarship...$750(10) Joe and Edith Reasoner Scholarship...$500 Michael Baker Scholarship...$250 Paul D. Rogness Memorial Scholarship...$500 Sanford and Alma Anderson Scholarship...$450 Humboldt Community School Foundation Ivan and Nell Schultz Scholarship...$500 Humboldt County Democratic Women...$100 (2) Humboldt County Memorial Hospital Auxiliary...$1,000 (2) Humboldt County Pheasants Forever...$250 (2) Humboldt-Dakota City Noon Kiwanis Club...$300 (3) Humboldt Education Association...$200 Humboldt Lions Club...$400 (4) Humboldt High School Class of 1959 Scholarship...$300 Humboldt Rotary Club Doctor Paul Williams Memorial Scholarship...$250(2) Humboldt Rotary Club...$250(4) Humboldt Seven O Clock Kiwanis Club...$250 (2) Humboldt Women s Club...$100 Pastor Russell Dilley Memorial Scholarship...$250 Veterans of Foreign Wars (VFW), Post # $500 (2) Veterans of Foreign Wars (VFW), Auxiliary Post # $250 Viona Masonic Lodge #538...$250 Please note the scholarships, their amounts and numbers of recipients are based on the previous year. Changes will probably occur. Some churches have scholarships and loan programs. Contact the pastor or church committee. In addition to the scholarships above, there is a loan program available through the Humboldt Rotary Club. Contact Jana Bratland for information.

3 HUMBOLDT COMMUNITY SCHOLARSHIP PROGRAM APPLICATION / (attach photograph here) Do not write in this space Name: Street address or P.O. Box number: City of residence: Telephone: Parent or Guardian: Complete address: List the occupation(s) of all adults in your family who contribute to your financial support: Number of persons living in your home: Number of persons living in your home who will be attending college next year: Name of high school presently attending: Name and location of post secondary school which you plan to attend: Have you been accepted by the post-secondary school named above? Yes No Planned enrollment date (Month and year): Title of program or major : Career plans: List any scholarships and/or grants that you have received to date and the amount of each:

4 The questions asked in this section relate to specific scholarships. You are free to answer or not to answer as you see fit. However, failure to answer a question may exclude you from consideration for that scholarship (but not other scholarships). Circle all of the underlined words that apply. I am the daughter son granddaughter grandson of a military veteran of: World War I World War II Korean Conflict Vietnam Hostilities Name of veteran: The following members of my family are registered Republicans: me parent(s) Name the registered parent(s) The following members of my family are registered Democrats: me parent(s) Name the registered parent(s) The following members of my family are members of the Humboldt Area Arts Council: me parent(s) Name the member: My parent(s) is/are a present or past member of the Humboldt-Dakota City Jaycees: yes no My parent(s) is/are a member of the following service organization(s): Name of elementary school(s) which you attended and the number of years attended: List any interests and/or hobbies you now pursue or any that you have pursued in the past. Elaborate if you wish. List the names, addresses and telephone numbers of three references whom the scholarship committee may contact. l I authorize the release of the high school class rank and grades of the student named on this application. Student Signature Parent/Guardian Signature (Required)

5 Why I should be considered for a Community Scholarship (in fifty to one hundred words) List school, community service, and church activities. Include any officer, titles, and/or honors. You may also include work experience, especially location of work, number of hours per week, and dates of employment. If you wish to elaborate on any item on the application form, please do so here:

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