MISSOURI BETA CLUB SCHOLARSHIP APPLICATION

Transcription

1 MISSOURI BETA CLUB SCHOLARSHIP APPLICATION General Rules: 1. Copy this application as many times as needed or you may use the online version at MoBeta.org. Use copies of this form ONLY. Do not add auxiliary pages. Be sure applicants submit 2 reference pages. 2. All forms must be typed. 3. A senior BETA member in good standing who is interested in attending one of the colleges or universities listed below is eligible to apply for the scholarship. 4. The State BETA Council Chairman will appoint a team to screen all applications that will be presented to the State Beta Council. Three candidates (unless the Council feels others should be considered) will be selected to be presented to the Council for first selection interviews. 5. The Missouri BETA Council will act as the board of review to interview the selected applicants and choose the scholarship recipient at the State Convention on Saturday (Time and place to be announced Friday night). 6. The recipient and an adult representative from his/her club must be in attendance at the State Convention in March. 7. A SEPARATE APPLICATION FORM MUST BE COMPLETED FOR EACH COLLEGE OR UNIVERSITY TO WHICH THE STUDENT WISHES TO APPLY. 8. The Application must be sent certified mail. DO NOT MAIL TO THE UNIVERSITY OR TO THE NATIONAL BETA CLUB OFFICE. All forms and information must be sent at one time in one envelope. Applications For: Missouri State Send : Mr. Derek Urhahn, BETA Scholarship 1101 West Grant Dexter, MO Applications For: Southeast Missouri State And/Or Three Rivers Community College Send : Mr. James Watts, BETA Scholarship Principal, Lesterville R-IV School PO Box 120 Lesterville, MO APPLICATION FORM MUST BE POSTMARKED BY THE DEADLINE DATE OF FEBRUARY 10, Value of Scholarship Offered These scholarships are provided to the Missouri Beta Club for the active senior members who meet all qualifications and are selected by the Missouri Beta Council. The following information is accurate and complete to the best of the knowledge of the members of the Missouri Beta Council. Any changes in the value of the scholarships will be at the discretion of each school that provides the scholarship.

2 Missouri State Full tuition with room and board I specified campus housing. Renewable if maintain 3.5 GPA with minimum of 30 hours cumulative per year. Southeast Missouri State Full tuition up to 15 hours per semester up to 30 hours per year. Room and board in specified campus housing. Renewable for 8 semesters. Must maintain 3.5 GPA with a minimum of 30 hours cumulative per year. Three Rivers Community College Full tuition plus rental books and fee. Further details can be obtained by contacting Tim Hager. NOTE: All schools that offer scholarships will also offer other scholarships of similar value. Scholarships such as Board of Governors, Freshman Academic, and/or Freshman Achievement Scholarships cannot be duplicated with the Missouri BETA Scholarship. Each scholarship finalist will receive a one-time scholarship of $500 that is good for any postsecondary institution of his/her choice upon proof of enrollment submitted to Mr. Derek Urhahn. SEE APPLICATION BELOW:

3 MISSOURI SCHOLARSHIP INFORMATION SECTION I: Information to be supplied by the applicant. Please type the information. TO WHICH COLLEGE OR UNIVERSITY ARE YOU MAKING APPLICATION? College or University Name First Full Middle Name Last Social Security No School Name Full Name of Parent / Guardian Permanent Address of Parent/Guardian Street Box or Route City State Zip Applicant, use the remaining space to write an explanation of your future plans for your education, goals you have set for yourself, etc.

4 Section II: School Activities: List activities, including dates, in which you have participated during high school. Include clubs, teams, musical groups, etc. Note major accomplishments in each. Select no more than 10. Activity Accomplishments Leadership Positions: List elected or appointed leadership positions, including dates, held in school, community, or work activities. Only those positions in which you were directly responsible for directing or motivating others should be included. For example, elected student body, class or club officer; committee chairperson; team captain; newspaper editor; work area manager or community leader. Select no more than 10. Leadership Position Activity / Organization

5 Leadership Positions continued: Leadership Position Activity / Organization Community Activities: List community activities, including dates, in which you have participated and note any major accomplishments. Only include activities outside of school in which you participated for the betterment of your community. For example: church groups, clubs sponsored outside the school, Boy or Girl Scouts, volunteer groups, or community art endeavors. Select no more than 10. Community Activity Major Accomplishments

6 Work Experience, Recognition, and Awards: List below any job experiences, honors, or recognition, including dates, that you have received which support your bid to be a leader. Select no more than 10. Job, Recognition or Award Group or Activity

7 Section III: Information to be supplied by the High School Principal or School Counselor. This information should be enclosed in a separate sealed envelope and mailed with the application. Student Name First Full Middle Name Last The above applicant is ranked based on the first seven semesters. There are seniors in the class. The applicant will graduate. Indicate applicant s scores on one of the following college aptitude test (use ACT if available). ACT Tested Raw Score Percentile Rank Eng Math Read Sci Writ Eng Math Read Sci Writ SAT Tested Raw Score Percentile Rank Verbal Math Verbal Math Enclose a copy of the student s high school transcript reflecting seven semesters. Signature Title Name of School Address

8 MISSOURI SCHOLARSHIP INFORMATION Section IV: Two (2) reference pages must be completed by teachers selected by the applicant. Each teacher should place completed reference in a sealed envelope and applicant will mail with the application. Name of Student Name of School Teacher Signature Instructions: Circle the number value in each category that most closely describes the student. INDUSTRIOUSNESS Willingness to work, work habits, zeal, perseverance. Lazy, little or no effort Seldom completes work Ordinarily completes work Occasionally does extra work Does extra work gladly THOROUGHNESS Accuracy, carefulness, exactness. Careless, work is always incomplete Expresses ideas carelessly Work generally complete & accurate Careful work Accurate Very careful and thorough INITIATIVE Intellectual curiosity, willingness to attempt new ideas, asks questions, shows interest. Never tries anything new Seldom originates any work Sometimes attempts new ideas Often initiates undertakings Marked ability to think independently RELIABILITY Dependable, good judgment, honest, ability to get along without supervision. Dishonest neglects obligation Often needs supervision Sometimes reliable Needs prompting Usually assumes Obligations Thoroughly dependable COOPERATION Ability to get along with others, adaptable, tactful, agreeable, cheerful. Disagreeable Neglects obligations Slow to respond unwilling to help Tends to be agreeable and willing Does well in team work Agreeable Always willing to help others EMOTIONAL STABILITY Poise, ability to handle stress. Unable to control emotions Occasionally loses self-control Fairly well balanced Good control Well balanced Poised Exceptionally well poised INTELLECTUAL CAPABILLITY Intelligence, natural ability to succeed in academic effort. Very slow to learn Lowest one/fifth Needs to make extra effort to keep up Average intelligence Quick to grasp subject Gifted Highest one/fifth RECOMMENDATION Based on the ratings on this form, this applicant is... Not recommended with reservation with confidence Very highly recommended

9 MISSOURI SCHOLARSHIP INFORMATION Section IV: Two (2) reference pages must be completed by teachers selected by the applicant. Each teacher should place completed reference in a sealed envelope and applicant will mail with the application. Name of Student Name of School Teacher Signature Instructions: Circle the number value in each category that most closely describes the student. INDUSTRIOUSNESS Willingness to work, work habits, zeal, perseverance. Lazy, little or no effort Seldom completes work Ordinarily completes work Occasionally does extra work Does extra work gladly THOROUGHNESS Accuracy, carefulness, exactness. Careless, work is always incomplete Expresses ideas carelessly Work generally complete & accurate Careful work Accurate Very careful and thorough INITIATIVE Intellectual curiosity, willingness to attempt new ideas, asks questions, shows interest. Never tries anything new Seldom originates any work Sometimes attempts new ideas Often initiates undertakings Marked ability to think independently RELIABILITY Dependable, good judgment, honest, ability to get along without supervision. Dishonest neglects obligation Often needs supervision Sometimes reliable Needs prompting Usually assumes Obligations Thoroughly dependable COOPERATION Ability to get along with others, adaptable, tactful, agreeable, cheerful. Disagreeable Neglects obligations Slow to respond unwilling to help Tends to be agreeable and willing Does well in team work Agreeable Always willing to help others EMOTIONAL STABILITY Poise, ability to handle stress. Unable to control emotions Occasionally loses self-control Fairly well balanced Good control Well balanced Poised Exceptionally well poised INTELLECTUAL CAPABILLITY Intelligence, natural ability to succeed in academic effort. Very slow to learn Lowest one/fifth Needs to make extra effort to keep up Average intelligence Quick to grasp subject Gifted Highest one/fifth RECOMMENDATION Based on the ratings on this form, this applicant is... Not recommended with reservation with confidence Very highly recommended