2015 Thomas L. Smith Memorial Scholarship A scholarship shall be awarded for the first year of college tuition for either a graduating senior of a Catholic high school in the Diocese of Columbus or a senior high school student who is a parishioner in good standing at St. Peter or St. Mary parish in Chillicothe, OH. The student should have proven financial challenges, which may prevent them from attending college or university. The awardee should also demonstrate a strong work ethic by consistently achieving above average grades or have achieved above average grades through continual improvement. The application must be completed in full and received by April 24, 2015. Application is limited to a student who is: o A graduating senior from a Catholic high school in the Diocese of Columbus (one per school) OR o A graduating senior student from any high school who is an active, registered parishioner of St. Peter or St. Mary parish in Chillicothe, as approved with the pastor s signature Who will be enrolled as an entering full-time student at a university, college, junior college, business or technical school within one year of the date of the award. A one-year, non-renewable scholarship in the amount of $1,250.00 shall be awarded toward tuition, fees, or classroom supply expenses. The Catholic Foundation of the Diocese of Columbus shall pay the scholarship amount directly to the college or university where the student is enrolled, as confirmed by contact to the college or university. An official high school transcript, including a list of courses in which the applicant is currently enrolled, must be attached to the application. Two personal recommendations for the applicant by persons not related to the applicant must be submitted in addition to the application. Forms for the recommendations will be provided with the application. Completed recommendations should be mailed separately by the recommending person no later than April 24, 2015. The recipient will be notified of this award by (date) The deadline for the scholarship application is APRIL 24, 2015.
Return by APRIL 24, 2015 To: Dana Forsythe Office of Catholic Schools 197 E. Gay Street Columbus, OH 43215 (Click in each field to complete) Thomas L. Smith Memorial 2015 Scholarship Application Form Student s Name: Gender: Male Female School Name: Principal s Name: School Address: City/State/ZIP: School Phone: Student s Address: City/State/ZIP: Elementary School Attended: Parish Affiliation: Father or Guardian s Name: Mother or Guardian s Name: List persons who will do your recommendations: Name: Address: Phone: Name: Address: Phone: Student s Signature: Parent or Guardian s Signature: Pastor s Signature (for parishioners of St. Mary or St. Peter)
Thomas L. Smith Memorial Scholarship Application Form Page Two To be completed by student: On separate sheet(s). Please type. 1. How have you benefited from your Catholic school education, or if you are not a Catholic school student, how have you benefited from your education in the faith? 2. What school do you plan to attend next year? 3. What long and short range personal and professional goals have you set for yourself? How do you plan to accomplish these goals? 4. What awards and honors have you received? 5. Complete attached list of involvement in extra-curricular or service activities, employment, and parish activities or organizations. Please e-mail a digital photo (head and shoulders) in.jpg format to dforsyth@cdeducation.org. NO HARD COPIES.
2015 Thomas L. Smith Memorial Scholarship (Click in each field to complete) School and Community: Extra-Curricular Activities Type/Name of Activity 9 th Grade 10 th Grade 11 th Grade 12 th Grade Offices or Honors Work Experience, Including Present Employment: From Mo.&Yr. To Mo.&Yr. Employer Position Job Description Parish Activities Type/Name of Activity 9 th Grade 10 th Grade 11 th Grade 12 th Grade Offices or Honors
2015 Thomas L. Smith Memorial Scholarship Personal Recommendation Form Applicant s Name: How long have you known the applicant? What is your relationship to the applicant? Please make a statement regarding why you consider the applicant worthy of receiving consideration for this scholarship award. Feel free to include any information which you feel the selection committee might find useful. Signature: Address: Date: Phone:
2015 Thomas L. Smith Memorial Scholarship Personal Recommendation Form Applicant s Name: How long have you known the applicant? What is your relationship to the applicant? Please make a statement regarding why you consider the applicant worthy of receiving consideration for this scholarship award. Feel free to include any information which you feel the selection committee might find useful. Signature: Address: Date: Phone: