INDIANA BROADCASTERS ASSOCIATION SCHOLARSHIP PROGRAM for High School Seniors

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1 INDIANA BROADCASTERS ASSOCIATION SCHOLARSHIP PROGRAM for High School Seniors CRITERIA FOR IBA SCHOLARSHIPS Scholarship Applicants must meet ALL of the Scholarship Criteria Applicant must have an overall 3.0 GPA (on a 4.0 scale) Applicant must be a resident of the State of Indiana. Applicant must be a second semester Senior at an Indiana High School planning to attend an Indiana postsecondary school. Applicants must be actively participating in a high school broadcast facility, worked for, or Interned at a commercial broadcast facility or must have received credit in a High School Broadcasting, Telecommunications or Broadcast Journalism course(s) while attending an Indiana high school. IBA Scholarship is good toward educational expenses at any IBA Member College/University offering a major in Media program (Radio/TV/Journalism/Film) or that has a Radio/TV facility on campus. The list of eligible Colleges/Universities is at the end of this application Submit your application on line by completing the information listed on the pages below. You can mail the entire application if that is preferred. APPLICATION DEADLINE: Postmark by: March 1, 2014 For Questions: Contact the IBA Offices at or joe@indianabroadcasters.org If Mailing: Indiana Broadcasters Association Dr. Joe Misiewicz Trade Center Drive, Suite 139 Fishers, IN 46038

2 SCHOLARSHIP PROGRAM Web: High School Transcript Request Form Instructions for the Applicant and the High School Guidance Office Applicant: Complete the from section, sign and date the form at the bottom of the sheet. Then deliver this form to your guidance counselor s office. High School Records Office: The student whose name appears in the From section of this form is applying for a scholarship. Please staple to this form a copy of the applicant s high school transcript. Send this form with the requested records, postmarked by March 1, 2014: Dr. Joe Misiewicz Indiana Broadcasters Association Trade Center Drive, Suite 139 Fishers, IN FROM: Student s Legal Name: Home Address: City State IN Zip: Permission is hereby given to High School officials to release the transcripts and other requested information. Applicant s Signature: Date:

3 INDIANA BROADCASTERS ASSOCIATION SCHOLARSHIP APPLICATION For High School Seniors Please follow the instructions carefully and note this must be completed by the Student applying not a parent or other individuals. Complete the High School Transcript Request Form and send it to your high school records office. 2. Complete this application by midnight, March 1, 2014 as an on-line application or 3. Mail this application and transcript postmarked by March 1, 2014 Full Legal Name: Home Address: City: State: Indiana Zip: Home or Cell Phone #: Birth Date: Address: Full Legal Name of a Parent/Guardian: Address: City: State: Indiana Zip: Home Phone #: Please indicate how your College/University education will be financed:

4 Please provide a list of any jobs you have held or work you have performed during the past three years, either for your family at home, part-time jobs or for outside employers: Please list special any recognition(s) you have you received for outstanding school work such as honors, prizes or scholarships in high school? Please list any community involvement: Please list your involvement with media:

5 Please list extracurricular activities in high school. Freshman Year Sophomore Year Junior Year Senior Year List your favorite recreational activities? List your hobbies and special skills you have developed for these hobbies? Please indicate any special recognition in connection with your recreational activities or hobbies you received (i.e. Best of, Most Outstanding : Name of your high school guidance counselor? Counselor Educational Institution(s) you plan to attend? Institution Name City (1) Institution Name City (2) Have you been accepted at your first choice? If no, when do you expect to be notified? Have you been accepted at your second choice? If no, when do you expect to be notified? Where do you plan to live next year? On Campus Off Campus With Parent(s) Other On the following page(s) write an essay that will be used to evaluate your genuine interest in continuing an education in a media program leading to a career in Radio/TV/Film/Media. Keyboarding is required and the essay should not exceed two (2) pages single spaced. Privacy Statement The Indiana Broadcasters Association (IBA) secures your personal, identifiable information you provide on the IBA Scholarship Application in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information is transmitted through the IBA website, it is protected through the use of encryption. The IBA Scholarship Applications are disseminated to the IBA Scholarship Committee, comprised of educational institution communications department head and academic advisors, public and commercial radio and television broadcasters, for use in selecting the Scholarship Recipients. All information contained in the IBA Scholarship Application is considered confidential. Upon completion of the annual IBA Scholarship Program, all scholarship applications are destroyed

6 Indiana Broadcasters Association Essay (not to exceed 2 keyboarded pages single spacing)

7 (You must be admitted and attend one of these schools to be eligible for the IBA Scholarship) Anderson University Ball State University Bethel College Butler University DePauw University Earlham College Franklin College of Indiana Goshen College Huntington University IUPUI Indiana State University Indiana University Indiana Wesleyan University Manchester College Purdue University Rose Hulman Institute of Technology Specs Howard School of Broadcast Arts Saint Joseph's College Taylor University Tri-State University University of Evansville University of Indianapolis University of Notre Dame University of Southern Indiana Valparaiso University Vincennes University Wabash College