The Charles R. Elmer Scholarship Foundation. The Charles R. Elmer Scholarship. Application for Graduating Seniors

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1 The Charles R. Elmer Scholarship Foundation The Charles R. Elmer Scholarship Application for Graduating Seniors

2 2 Charles Robert Elmer January 18, 1909 May 31, 1997 The Charles R. Elmer Scholarship honors a remarkable man, educator, and true gentleman who committed his life to education and the encouragement of others to further their own pursuit of higher learning. Born in Ironton, Ohio in 1909, Charles graduated from Duke University with a Bachelor of Arts in History in He moved to Painesville in 1944 and later earned a Master s Degree in Education from Case Western Reserve University in After teaching at Champion Junior High, Charles moved on to Thomas W. Harvey High School in 1951 where he remained until his retirement eighteen years later. During his teaching career at Harvey High School, he was named Teacher of the Year and in 1958 the students dedicated the Anvil to Charles in recognition of his help and guidance. It is this lifelong dedication to education and the understanding of its importance in the development of an individual that led him to establish the Charles R. Elmer Scholarship Foundation. The purpose of the Charles R. Elmer Scholarship is to encourage and assist graduates of Harvey High School to pursue a diversity of post high school educational experiences. Candidates may apply annually for financial support for tuition at two and four year colleges and universities. The scholarship is also applicable to a wide variety of other learning programs such as but not limited to: vocational programs, technical and trade schools, business and secretarial schools, truck driving and diesel technology programs, medical and dental technician schools, cosmetology and beauty schools, culinary schools, pilot and airplane mechanic schools, and computer training programs. The Scholarship Committee will consider any other legitimate educational program or individual course for possible tuition assistance. The Charles R. Elmer Scholarship Committee looks forward to receiving your application and hopes that any funding that may be awarded will help you reach your personal goals. Charles R. Elmer Scholarship Committee

3 3 THE CHARLES R. ELMER SCHOLARSHIP Application Requirements for Graduating Seniors Eligibility: A. Applicant must be in the current graduating class of Thomas W. Harvey High School and have attended Harvey High School for his/her entire senior year. REQUIREMENTS FOR APPLICANTS In addition to the completed application, applicants must supply the following documents: A. Academic data sheet and current official high school transcript of credits signed by a member of the guidance department. B. One recommendation letter from a teacher possessing knowledge of the applicant s character. C. One letter of recommendation from responsible member of the community not related to the applicant (i.e. employer, clergy, scout leader, etc.). NOTE: This letter should not be from a relative or from a faculty/staff member. D. Complete copy of the family s and student s most recent federal tax form. (i.e. 1040, 1040EZ, etc.) Applications may be obtained from the Guidance Department of Harvey High School or by writing to: The Charles R. Elmer Scholarship Foundation P.O. Box 1460 Painesville, Ohio General: A. The Board of Directors will announce the recipients publicly at the Senior Recognition Assembly or its replacement. B. Financial awards will be mailed directly to the post-high school program. C. The decision of the Board of Directors will be considered final. D. Completed applications must be postmarked by April 30 th and returned to the Foundation post office box.

4 THE CHARLES R. ELMER SCHOLARSHIP 4 The Charles R. Elmer Scholarship is available through the Charles R. Elmer Scholarship Foundation. Please make sure that you follow instructions carefully as you fill out the application. Answer all questions completely. Applications must be mailed to: The Charles R. Elmer Scholarship Foundation P.O. Box 1460 Painesville, Ohio It must be postmarked by April 30 th of the application year. Type or print clearly. PERSONAL DATA 1. Name in Full S.S. Number 2. Street City Zip 3. Telephone Date of Birth 4. Father s Name Living? Yes No Street City Zip Place of Employment 5. Mother s Name Living? Yes No Street City Zip Place of Employment 6. If you do not live with parent(s), please explain below: 7. How many children in your family are older than you? How many children in your family are younger than you? How many family members are presently enrolled in a post-high school program? Name(s) of program(s):

5 5 SCHOOL INVOLVEMENT 8. Please list any class offices, committee memberships, extracurricular activities (sports, band, drama, etc.), school honors, or special recognition you held or received: Year Check all years Activity Position that apply COMMUNITY INVOLVEMENT 9. Please list your outside activities (include volunteer services, church, scouts, clubs, sports, employment, etc.) Activity Position Year

6 POST HIGH SCHOOL PLANS Name of school/program in which you plan to enroll: Why did you choose this program? Anticipated length of program: FINANCIAL DATA 11. Family Gross Income from most recent federal tax form (1040, 1040EZ) _ 12. Estimated annual costs to attend the school/program of your choice: Tuition Room & Board Books and/or Supplies Personal/Miscellaneous Expenses TOTAL COSTS 13. How do you plan to meet these expenses? List total amounts: TOTAL COSTS $ From Item 12 TOTAL CONTRIBUTIONS - From Item 13 DIFFERENCE $ Work Study Grant(s)/Scholarship(s) Guaranteed Student Loan Student s Contribution Family s Contribution Other - Source? PLEASE INDICATE IN QUESTION #14 HOW YOU WILL FUND THE DIFFERENCE ABOVE TOTAL CONTRIBUTIONS 14. If the total cost in item number 12 is more than the total contributions in item number 13, how will you fund the difference? 15. What scholarships or grants have you applied for? List the amount for any awards you have received. $ $ $ $ $ $ $ $ 16. Please add any additional comments or information that you feel the scholarship committee should consider:

7 7 PERSONAL ESSAY Charles R. Elmer Scholarship Foundation Please attach your personal essay. Your essay should address why you are applying for this scholarship and your long-term goals. The document must be maximum two pages typed and double-spaced. Student s Signature Print Name COMMUNITY MEMBER RECOMMENDATION Not related to applicant or employed by Painesville City Schools Charles R. Elmer Scholarship Foundation A typed or neatly handwritten letter is to be attached detailing the following: In what capacity have you known this student? For what period of time have you known this student? How does this student interact with others? How would you evaluate his/her performance in activities of which you are aware? Please add any additional comments or information regarding this student of which you feel the scholarship committee should be aware. The Community Member is to sign and date the Letter of Recommendation. Please remember that this person is to exclude Painesville City Local Schools faculty and staff and family members. TEACHER RECOMMENDATION Charles R. Elmer Scholarship Foundation A typed or neatly handwritten letter is to be attached detailing the following: In what capacity have you known this student? For what period of time have you known this student? How does this student interact with others? How would you evaluate his/her performance in activities of which you are aware? Please add any additional comments or information regarding this student of which you feel the scholarship committee should be aware. The teacher is to sign and date the Letter of Recommendation.

8 CHECK LIST 8 Please make sure that each of the following requirements has been completed and is included in your package to be returned to the scholarship committee. A) Application Item B) Personal Essay Sheet C) Academic Data Sheet D) Teacher Recommendation Sheet E) Community Member Recommendation Sheet F) High School Transcript G) Most Recent Federal Tax Form (1040, 1040EZ) Parent Student I hereby certify that the information contained on this form is accurate. Student s Signature Date Print Name Parent s/guardian s Signature Date Print Name

9 9 Charles R. Elmer Scholarship Foundation Academic Data **To be completed by a guidance counselor at Harvey High School** Student s Name ACT Score SAT Score GPA Class Rank of Number of years as a student at Harvey High School Signature Date Print Name