scholarship - mediacom world class · just like most midwestern families, the mediacom family...
TRANSCRIPT
scholarship
Just like most Midwestern families, the Mediacom family believes in the importance of higher education. As a corporation with strong community roots, we wanted to support, in some way, the higher education of our customers.
For this reason, we formed World Class, a Mediacom scholarship program to help graduating high school students with their college expenses, such as tuition and books.
Through the World Class program, Mediacom awards $1,000 scholarships to winning applicants.
Scholarship Application ChecklistBefore you send your application materials to the address below, please make sure you have included the following:
o Completed application with your signature and the signature of your school guidance counselor.
o A copy of your high school transcript.
o Your essay of about 500 words, typed and double spaced.
o The references of two educators from your school (using the forms on the last page of this application).
Retain a copy of the above documents for your records (except for the references).Incomplete packets will be automatically rejected.
To be considered for a World Class scholarship, an eligible student must:
1. Complete and include the application.2. Compose and include the requested essay.3. Include a copy of his or her high school transcript.4. Include references of two educators from his/her school.5. Mail all application materials postmarked on or before
February 11, 2011.
The selection of scholarship recipients is based on:
Academic Achievement: demonstrated by high school grade point average information (GPA) and class ranking.
Leadership: based on self-reliance, initiative and creative ability in school and out, as reflected in the applicant’s personal essay. Additional determining factors include:
• Participation in school activities.• Honors received.• References of two educators from your school.• Participation in community activities.
Completed application materials should be postmarked on or before February 11, 2011, and sent to:
Mediacom World Class – The Mediacom Scholarship Program3737 Westown Parkway, Suite AWest Des Moines, IA 50266
Questions may be sent to: [email protected].
An Adobe Acrobat® format of the application can be downloaded at www.mediacomworldclass.com.
Eligibility requirements:
Children of directors, officers, employees or agents of Mediacom are not eligible.
Applicants must be legal residents of a community that is being served by the North Central Division of Mediacom (see list on pages 6-7).
Scholarship awardees may attend any accredited two-yearor four-year college, university, technical or vocational school within the United States.
Applicants must intend to pursue a course of study at a qualified post-secondary institution.
Applicants must be accepted by the qualified post-secondary institution prior to actually receiving a scholarship.
Applicants must commence their post-secondary education or training in the first academic year following their senior year of high school.
Applicants must be in their senior year of high school, must be high school graduates or persons who have achieved equivalent certification. If an applicant is awarded a scholarship while in his or her senior year of high school and does not graduate at the end of his or her senior year, he or she is no longer eligible to receive a scholarship.
Students completing high school in less than the normal four years are eligible to apply.
Students entering a qualified post-secondary institution in the middle of their senior high school year are permitted to apply the following year.
All scholarships will be awarded without regard to race, religion, national origin, sexual orientation, political affiliation or social or economic status.
Scholarships are not renewable.
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PLEASE READ THIS SECTION ON IMPORTANT TIPS BEFORE GOING ANY FURTHER.
• Usethecorrectapplication–photocopiesareallowed.Donotuseanapplicationfromapreviousyear. • Printneatlyortypeyourapplicationasclearlyaspossible. • Makesuretoincludecity,stateandzipcode.Donotuseabbreviationsinregardstoyourcity. • Supplyanactiveemailorphonenumber,includingareacode,whereyoucanbereachedincaseofquestions. • Putyourfullnameonthetoprighthandcornerofeverypageofeveryiteminthepacket. • Fillinallblanksontheapplication.Ifitdoesnotapplytoyou,useN/A. • Referencesmustbemadeusingthereferenceforms.Additionallettersofreferencewillbeaccepted. • Makesureallrequireditemsareincluded.Ifanypartismissing,thatcouldautomaticallydisqualifyyou. • Makeacopyofyourtotalapplicationpacketforyourrecords. • USE AT LEAST A 9” X 11” ENVELOPE. DO NOT FOLD THE APPLICATION. • DO NOT USE STAPLES. You may use paper clips. • DO NOT PUT THE APPLICATON IN A BINDER OR FOLDER. This will be removed and disposed of before going to the judges. • DO NOT INCLUDE A PHOTOGRAPH WITH YOUR APPLICATION. This will be removed and disposed of before going to
the judges. • Address to send application:
Mediacom World Class – The Mediacom Scholarship Program 3737 Westown Parkway Suite A West Des Moines, IA 50266
How much is the scholarship? • $1,000
Who is eligible? • Highschoolseniorswhoaregraduatingin2011andliveintheareasservicedbytheNorthCentralDivisionofMediacom
are eligible.
How can I be sure if I live in an eligible area? • IfyourcommunityisservicedbytheNorthCentralDivisionofMediacom,youareeligible.Thereisalistofthetownswe
service in the application. A copy is also available online at www.mediacomworldclass.com.
The application says to get two references. Who should I ask for this? • Thereferencesshouldcomefromteachers,coaches,sponsors,tutors,counselorsoranyonewhoworkswithyouona
day-to-day basis and can vouch for you and your abilities. • Ifyouarehomeschooled,anyonewhoworkswithyouinaneducational,community,churchoremploymentcapacitywill
be accepted as references.
Do I have to use the reference sheets in the application or will letters of recommendation be okay? • Thereferencesheetsuseanumberingsysteminrankingyouforjudgingpurposes.Itisrequiredtohavethemfilledout
and sent in with your packet. • Youmayalsoincludelettersofreferenceinadditiontothereferencesheets.
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Can a photocopy of the application be used? • Yes.Youmayalsoprintoutadditionalcopiesfromthewebsitegivenaboveormakecopiesfromanoriginal.
Does the copy of the transcript have to be certified? • Ifpossible,butitdoesnothavetobesealedinaseparateenvelope.If,however,yourschoolrequiresasealedenvelope,make
sure it is included in the packet you send us. DO NOT SEND IT SEPARATELY.
What are you looking for in the essay? • Theessayshouldnotbealistofyouraccomplishments.Itshouldbeanarrativethatshowshowyouhavelearnedleadership,
how it has helped you and how you use it to help others. n Avoidmakingitan“I”list,witheverythingstartingwith“Idid…”or“Iwent…” n Be creative. Write something that will grab the judges’ attention.
Is there anything else I can send that may be helpful to the judges? • Youmayalsoincludealistofachievements,awards,accomplishmentsandschoolclubs.Thiscanbeincludedwiththelistof
communityeventsandorganizationswithwhichyouareinvolved.Remembertokeepthislistseparatefromyouressay.
What do you mean by community events and organizations? • Thiswouldincludechurchgroups,civicgroups,volunteerwork,BoyorGirlScouts,SpecialOlympics,etc.Anyorganization
outside of school with which you are currently or have been involved.
What is the deadline for the application? • TheapplicationandallothermaterialsmustbepostmarkednolaterthanFebruary11,2011.
I plan to go to a vocational school. Am I still eligible? • Yes.Anytypeofsecondarytrainingiseligible.
I will be a sophomore in college next year. Am I eligible? • Onlyifyouearnedyourcollegecreditswhilestillinhighschool.
Is the scholarship renewable? • No.TheWorldClassMediacomScholarshipisaone-time,non-renewableaward.
My parent works for Mediacom. Am I eligible? • No.
When will the scholarships be awarded? • ThescholarshipswillbeannouncedbyApril15,2011.
If I am awarded a scholarship, what do I have to do to get the money? • Ifyouareselectedforascholarship,thecommitteewillnotifyyoubyletter.Theletterwillcontainfurtherinstructions.
How will the scholarship money be paid? • Themoneywillbegivendirectlytothestudentstouseastheyneedfortheircollegeexpenses.Thismaybedonebymail,
orareaMediacomofficesmaychoosetopresentthem.Moreinformationwillbeavailableafterrecipientsarechosen.
IfyouhaveanyotherquestionsconcerningtheWorldClass–TheMediacomScholarshipProgram,pleasecontactusat [email protected].
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PLEASE PRINT CLEARLY OR TYPE THE INFORMATION BELOW
applicationSECTION ONE: PERSONAL INFORMATION
Applicant’sName_______________________________________________________________________________________
Address________________________________________________________________________________________________
City____________________________________________________State______________________Zip_________________
TelephoneNumber___________________________EmailAddress_______________________________________________
SECTION TWO: ACADEMIC INFORMATION
CurrentSchool_________________________________________________________________________________________
Address_______________________________________________________________________________________________
City____________________________________________________State______________________Zip_________________
TelephoneNumber_____________________________________________ClassRank____________outof____________
AnticipatedGraduationDate(Month/Year)_________________GradePointAverage____________outof____________
Nameandsignatureofhighschoolguidancecounselor,verifyingtheacademicinformationabove:
PleasePrint_________________________________Signature________________________________Date_____________
SECTION THREE: ESSAY
Aspartofthisapplication,weaskthatyouwriteandattachanoriginalessayof400-500words(typedanddouble
spaced).Thisessayshoulddescribehowyouexhibitleadershipinyourschoolandcommunity.Aseparatelistof
honors, awards and accomplishments that you have achieved may be included.
SECTION FOUR: COMMUNITY INVOLVEMENT
Pleaselistthecommunityeventsandorganizationsinwhichyouparticipate(attachaseparatesheetifneeded).
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
SECTION FIVE: REFERENCES
•Makephotocopiesoftheformsonpages6-7.Giveacopytotwoeducatorsinyourschool.Oncetheseforms
are completed and returned to you, send them to us with the rest of your application materials.
•Remembertomakeacopyofallapplicationmaterials(exceptthereferences)foryourself.Thematerialsyou
senduswillnotbereturnedtoyou.WewillletyouknowduringApril2011,whetherornotyouhavequalified
for a scholarship.
SECTION SIX: TO BE READ AND SIGNED BY SCHOLARSHIP CANDIDATE
Ihearbydeclarethatallinformationcontainedinthisapplicationistruetothebestofmyknowledge.Theessay
ismyownwork.Ialsoagreetoabidebyallscholarshippoliciesasdetailedinthisdocument.
Signatureofcandidate____________________________________________________Date_____________________________5
communities servedYOU ARE ELIGIBLE TO RECEIVE A SCHOLARSHIP IF YOU LIVE IN A COMMUNITY LISTED BELOW
ARIZONA AjoAmadoApache JunctionArrivacaGoldCanyonMesaNogalesCityNogalesCountyPinalCountyQueen CreekQueen ValleyRioRicoRockShadowsSandTanksSantanValley
CALIFORNIA BodfishClearlakeCobbCounty LakeHiddenValleyLakeInyokernIsabellaKelseyvilleKernvilleLakeportLower LakeLucerneNaws“ChinaLake”NiceRidgecrestRiversideCountySanSanBernardinoCountySanPasqualSunCityTronaValley CenterWeldonWoffordUpperLakeValley CenterInyokernRcBodfishKernvilleWeldonWoffordH
ILLINOISAbingdonAlbanyAledoAlexisAltamontAltonaAltopassAndalusiaAndoverAnnawanApolla AcresAppleRiverArcolaArenzvilleArgyleArthurAshmoreAstoriaAtkinsonAtlantaAtwoodAvonBayles LakeBayviewGardensBellflowerBelvidereTWPBementBensonBloomingtonBodenBracevilleBradfordBrimfieldBruceBudaBuffaloBulpitBureauBurlingtonBushCaledoniaCamargoCambriaCambridgeCandlewick LakeCantrallCapron
Carbon CliffCarbondaleCarroll CountyCarterville CarthageCaseyCerroGordoChadwickChampaign CountyChapinCharlestonChatsworthChemungChenoaChillicotheClark Clay CityClearlake TrailerClearlake VillageClevelandClintonCoal ValleyCobdenCoffeenColesColes CountyColfaxColonaColpCordovaCornellCortlandCoultervilleCrainvilleCrawfordcrescent CityCullomDakotaDallasCityDanversDavisDavisJunctionDawsonDaytonTwpDeLandDeerCreekDelavanDesotoDowellDownsDownsSubdivisionDunlapDurandDwightEagleEarlvilleEastBrooklynEastDubuqueEastMolineEdinburgEffinghamElPasoElburnEldoradoElizabethElkartElkvilleElmwoodEmdenEnergyErieEssexEurekaFairburyFairmont CityFairviewFarHillsFarinaFarmer CityFarmingtonFayetteFisherForrestFranklin CityFultonFyre LakeGalenaGalenaTerritoriesGalvaGardenPrairieGarrettGeneseoGenevaGermanValleyGermantownGibsonCityGiffordGilberts
GlasfordGodleyGoodHopeGoodfieldGrantParkGranvilleGreenRockGreenValleyGreenupGreenviewGrundyCountyHamiltonHammondHampshireHamptonHannaCityHanoverHarrisburgHartsburgHarvelHebronHeckerHendersonHennepinHenryHenryCountyHerrickHerrinHeyworthHillsdaleHinckleyHindsboroHopedaleHopewellEstatesHudsonHumboltHurstHutsonvilleIndustryIpavaIroquoisCityIrvingIvesdaleJackson CountyJacksonvilleJeisyvilleJoDaviessJohnson CityKane CountyKangleyKankakee CountyKansasKentland-OutKincaidKirklandLaconLakeSaraLakeSummersetLamplighterLanark Lasalle County Leland Lena LeroyLexingtonLoamiLodaLomaxLondonllsLouisvilleLudlowLyndonMackinawMackinaw Trailer Court Madison CountyMahometMalta Manlius MansfieldMapleParkMaquonMarionMark Marseilles MarshallMartinsvilleMathervilleMattoonMcconnell McHenryCountyMcleanMechanicsburgMelvinMetamora MiddletownMilan Milledgeville
Mineral MinierMinonkMinookaMobetMoline MomenceMonroe Center Monroe CountyMonticelloMorrisMorrisonMorrisonvilleMoundsMounds CityMt. AuburnMt. Carrol MurphysboroNaplateNauvooNeogaNeponsetNewBerlinNewHollandOakGroveOakParkEstOaklandOblongOconeeOdellOquawkaOrangevilleOrionOsco/HenryCountyOttawaOtterCreekPalestinePalmerPaxtonPearlCityPecatonicaPeoriaCountyPerryCountyPesotumPiersonStationPontiacPontoosucPoplarGrovePortByronPrairieCityPreemptionPrincevilleProphetstownRantoulRapidsCityReadingRedBudReynoldsRichmondRidottRingwoodRiverOaksRoanokeRobinsonRockCityRockIslandRollingMeadowsRosevilleRoyaltonSouthJacksonvilleVillage SaintAugustineSaintClairSaintDavidSaintElmoSanJoseSangamonCitySauneminSavannaSaybrookScalesMoundSecorShabbonaShadyOaksShannonSheffieldSheldonSheridanSherrard/FyrShipmanSigelSilvisSmithtonSmithvilleSolonMillsSomonaukSouthOttawaTwpSouthWilmington
SparlandSpringBaySpringGroveSpringfieldStandardStandfordStephesonCountyStewardsonStocktonStrasburgStreatorStronghurstSugarGroveSullivanTampico TaylorRidgeTeutopolisThomasboroThomson TildenTimberRidgeToledoTolonoTolucaToulon ToveyTowandaTowerHillTuscolaVarnaVermontVictoria VillaGroveViola Walnut WapellaWarren Warsaw WasburnWashingtonParkWataga Waterman WatsekaWaynesvilleWeldonWenonaWest FrankfurtWestfieldWhiteashWhiteside WilliamsfieldWilliamson CountyWilsonvilleWindsorWinnebagoWinslow WolfeRoadWoodford CountyWoodlandWyomingYates CityZiegler INDIANAAdam LakeAdams CountyAlbionAllen CountyAngolaArgosAuburnBlufftonBourbonBremanBrookButlerChurubuscoColumbia CityCromwellCulverDecaturDeerfieldAptsDekalbCountyDemotteDewartLakeFort WayneFrancesvilleFremondGarrettGoodlandGrabillGrovertownHamiltonHoweHuntertownJasper CountyKendallvilleKentland
KnoxKoontzLakeKosciuskoKosciusko CountyKoutsLacrosseLagrangeLagrange CountyLake CountyLakevilleLaottoLapazLeesburgLeo/CedarvleLigonierMaldenMarshallMedaryvilleMilfordMonroeNappaneeNewDurhamNobleCountyNorthJudsonNorthLibertyNorthachesterNorthWebsterPiercetonPonetoRomeCityRoselandRosewoodManorSaintJoeSaintJosephSanPierreSchneiderSkinnerLakeSouthWhitelyStarkeCountySteubenCountySyracuseTippeconoeTocsinTri LakesUniondaleVeraCruzWabash CountyWalkertonWanatahWaterlooWells CountyWestvilleWheatfieldWocottville
IOWA AckleyAdelAgencyAlbiaAlgonaAltaAltoonaAmanaAmesAnamosaAnkenyAplingtonArnoldsParkAsburyAtalissaAtlanticAudubonAvocaBancroftBarnumBeaconBeamanBedfordBellePlaineBelmondBertramBettendorfBloomfieldBlueGrassBondurantBooneBoonevilleBrittBuena VistaBuffaloBuffalo CenterBurlingtonBurtBusseyCalhounCalmarCamanche
CarlisleCarrollCedar FallsCedarRapidsCentervilleCerroGordoCharitonCharles CityCharlotteCherokeeClarindaClarionClaytonClear LakeClintonClinton CountyCliveColfaxColumbus CityColumbus JunctionConradCoralvilleCorningCorydonCrescoCrestonDakotaCityDallasDallasCenterDanvilleDavenportDecaturCityDecorahDelawareCountyDenisonDenverDesMoinesDesMoinesCountyDesotoDewarDewittDexterDikeDubuqueDubuqueCountyDuncanDurantDyersvilleDysartEagleGroveEarlhamEddyvilleEdgewoodEldonEldoraEldridgeElginElkRunHeightsElkaderElmaEmmetsburgEpworthEssexEsthervilleEvansdaleFairbank Fairfax FairfieldFarley Fayette Forest City Fort AtkinsonFortDodgeFort Madison Fredericksburg Fredonia GarnavilloGarnerGarwinGilbertvilleGilmoreCityGlad-brook GlenwoodGliddenGooseLakeGrangerGreenMountainGreenfieldGrimesGrinnellGrundyCenterGuttenbergHamiltonHamptonHardinCountyHarlanHarper’sFerryHarris
Questions may be sent to: [email protected]
communities servedYOU ARE ELIGIBLE TO RECEIVE A SCHOLARSHIP IF YOU LIVE IN A COMMUNITY LISTED BELOW
HartfordHazletonHiawathaHillsHudsonHumboldtHuxleyIndependenceIndianolaIowaCityIowaFallsJanesville Johnston Jones County Kalona Kellerton Kensett Keokuk Keota Knoxville Lake City LakeParkLakeside LambsGroveLamoni Lansing Laporte Laurens Le Claire LeGrandLee County Leland Leon LimeSpringsLinn Lisbon Lone Tree LongGroveLovilia Low Moor Lucas Lynnville Madrid Manchester Manly Manson MaquoketaMarengo Marion MarquetteMarshalltown Mason City Maynard McCausland McGregorMelcherMiddletown Miles Mills County Mitchellville Monroe Monticello Montrose MorningSunMount Joy Mt Ayr MtPleasantMt Vernon Mt.PleasantNevadaNewAlbinNewHamptonNewHartfordNewLondonNewSharonNewhallNewtonNorthEnglishNorthLibertyNorthwoodNorwalkNorwayOelweinOkobojiOrleansOsageOsceolaOskaloosaOssianOttumwaOxfordOxfordJunctionPanoramaParkParkViewParkersburgPellaPerryPleasantHill
PleasantValleyPleasantvillePlymouthPocahontasPolkCityPrairieCityPrestonPrincetonRandallRaymondRedOakRedfieldReinbeckRiverdaleRiversideRockwellRockwellCityRuralClintonCountyRuralJacksonCountySabulaSacCitySagevilleScottSheffieldSheldahlShellRockShenandoahShorewoodAcresShueyvilleSigourneySlaterSolonSpencerSpillvilleSpiritLakeStormLakeStoryCityStrawberryPointStuartSullySumnerSweaCitySwisherTama TiffinTipton ToddvilleToledo Traer UniversityHeightsUniversityParkUrbandaleVan Meter Ventura Villisca Vinton Viola WahpetonWalcott Wapello Washburn Washington Waterloo Waukee Waverly Webster Webster City Wellman West Branch West Burlington WestDesMoinesWest Liberty WestOkobojiWestPointWestUnionWestwood What Cheer Williamsburg WindsorHeightsWinterset Woodburn Woodward Wright Wyoming
KANSASAltoonaBaldwin CityBurlingameBurlingtonCarbondaleEdgertonEurekaGalenaGridleyHamiltonLeboLeroy
LyndonMadisonMulberryNewStrawnOsageCityOswegoScrantonThayer TorontoTreeceWellsville
KENTUCKYAlbanyAlmoBarrenBeeSpringBentonBig CliftyBonnievilleBrekenridge CountyBrownsvilleButler CountyCadizCaldwell CountyCalloway CountyCalvert CityCaneyvilleCasy CountyChristian CountyClintonClinton CountyCrittendenCroftonCumberlandDaviessCountyDoverEdmonsonCityEdmontonElktonFordsvilleFredoniaGamalielGilbertsvilleGraysonCountyGuthrieHardinHartCountyHendersonHerdinCountyHopkinsCountyHpokinsvilleLarue CountyLincoln CountyMadisonvilleMarionMarrowboneMarhsall CountyMelwoodMonroe CountyMorgantownMumfordvilleNeboNortonvilleOakGroveOhioCountyParkCityPembrokePickettCountyPrincetonRockcastleCountyRussellCountySaintPaulSalemSonoraSummershadeSweedenTodd CountyTompkinsvilleTrentonTrigg CountyUptonWhitesville
MICHIGANAlmena TownshipAntwerp TownshipMarcellus TownshipMattawanMendonMendon TownshipOshtemo MINNESOTAAdams Appleton Arlington Atwater Aurora
Beaver Bay Belgrade BellePlaineBirdIslandBiwabik BloomfieldBloomingPrairieBoveyBrooten Brownsdale Brownsville Brownton Buffalo Lake Buhl ButterfieldCaledonia Calumet City Cannon Falls CanteburyEstatesCanton Carlton Chanhassen ChatfieldChisholm Chokio Clara City Cleveland ClintonClontarfCloquetCohasset Collinwood Twp Cook Cosmos CreditRiverDakotaDanubeDarwinDassellTownshipDawsonDeephavenDodgeCenterDoverTwpElkoEllsworthEvelethExcelsiorFairfax Fayal FlorenceFranklin Fulda GaylordGibbonGilbertGracevilleGrandMaraisGrandRapidsGrandRapidsTwpGraniteFallsGreenwoodGroveCityHadleyHamburgHancockHarrisTwpHassanValleyHayfieldHectorHendersonHermantownHibbingHokahHoustonHowardLakeHoytLakesHutchinsonIndependenceIvanhoeJanesville Kasota Keewatin Kenyon Kinney Lafayette Lake Benton Lake City Lake City TownshipLake Crystal Lake Jefferson Lake WashingtonLanesboro Laprairie LeSueurLeroy LesterPrairieLitchfieldLong Lake
Lonsdale Loretto LowerSiouxLuverne Lyle Mabel Madison Mantorville MaplePlainMarbleMaynard Mckinley Medina Midway Twp Minnestria Minnetonka Montgomery Moose Lake Moose Lake Twp Morris Morris Twp Morton Mound MountainIronMountain Lake MountPleasantNashwaukNewMarketNorthRedwoodNorwoodOliviaOronoPaynesvilleTownshipPaynesvillePembertonPetersonPipestonePrestonPriorLakeProctorRedwoodFallRiversideTeRushfordSaintBonifaciusSaintCharlesCitySaintCharlesTwpSaintJamesSaintPeterSavageShorewoodSilverBaySilverLakeSlaytonSleepyEyeSpringGroveSpringLakeSpringParkSpringValleySprintValleyTwpSpringfieldStarbuckStewartSturgeonLakeSunburgSunriseVillTaconiteThomson Tonka Bay Trosky TwoHarborsTyler Veseli Victoria Virginia Waconia Waldorf Waltham Waseca WayzataWebster Wells West ConcordWhite TownshipWheaton Windemere Winnebago Winsted Winthrop Woodland Worthington Young America
MISSOURIAirportDriveAlbaAlbanyAndersonAppleton City
ArchieAshGroveAvaBattlefieldBethanyBillingsBoone CountyBrunswickButlerCaboolCallawayCameronCarl JunctionCarrolltonCaruthersvilleCassvilleClay/RayCountyColumbiaCraneCrystal LakesDiamondDuenwegDuquesneEvertonExcelsiorEstatesExcelsiorSpringsExeterForsythForsythRuralGoldenCityGoodmanGranbyGreenCountyGreenfieldHaytiHaytiHeightsHenriettaHermannHoltsSummitHomesteadVillageJasperJasper CountyJefferson CityJoplin Kimberling CityLawsonLiberalLockwoodLowery CityMansfieldMarcelineMarshfieldMillerMt. VernonNeckCityNewtoniaNorborneOronogoOsceloaPurcellPurdyPurdyRuralRichmondRogersvilleSalisburySarcoxieSeymourSpringfieldStarkCityStraffordUniversityofMissouriWalnutGroveWillardWoodHeights
OHIOAntwerpHicksville
OKLAHOMACardinPicherQuapaw
SOUTH DAKOTAArlington Aurora Brookings Bruce Castlewood Colman DesmetEganElktonEstellineFlandreau HaytiLakeNorden
LakePrestonSDSUVolga White
TENNESSEEBigRockDoverStewardCounty
WISCONSINAlbany Argyle Belmont Benton Blanchardville Boscobel City Bridgeport Twp Brookview Browntown CampDouglasCashton Chaseburg Coon Valley Crawford County Cuba City DarlingtonEastDubuqueElkhornEssman&AbleFennimore Ferryville Footville Fort Mccoy Fremont GayMillsGermantownGrantCountyGreenfieldHazelGreenHustlerIolaJuneau County La Farge Lacrosse Lafayette Twp Lagrange Twp MartintownMauston Mcgregor Monticello Muscoda NecedahNewLisbonNorwalkOntarioOrfordvillePotosiPrairieDuChienReadstownRichlandCountyScandanaviaShelbyShullsburgSoldiersGroveSouthWayneStoddardTennyson Vernon CountyViolaViroquaWestby Wilton
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referencesREFERENCES FOR THE SCHOLARSHIP CANDIDATE
Pleaseprinttheinformationbelow:
Nameofcandidate_________________________________________________________________________________________________________
Yourname________________________________________________________________________________________________________________
Yourrelationshiptothecandidate___________________________________________________________________________________________
Pleaserankthecandidateineachofthecategoriesbelowbycirclingtheappropriatenumberforeachitem.
ThecandidatemustmailthisandallotherapplicationmaterialsonorbeforeFebruary11,2011.
RATING SCALE
Ratethecandidatecomparedtothetypicalstudentinyourschool.
4-Outstanding3-AboveAverage2-Average1-BelowAverage
•Leadershipinschool 4 3 2 1
•Leadershipincommunity 4 3 2 1
•Characterandintegrity 4 3 2 1
•Self-reliance 4 3 2 1
•Initiative 4 3 2 1
•Creativity 4 3 2 1
Iherebydeclarethattheaboveinformationisaccuratetothebestofmyknowledgeand/oropinion.
Signatureofpersoncompletingthisform______________________________________________________Date_________________________
THANKYOUFORYOURCOOPERATION.
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referencesREFERENCES FOR THE SCHOLARSHIP CANDIDATE
Pleaseprinttheinformationbelow:
Nameofcandidate_________________________________________________________________________________________________________
Yourname________________________________________________________________________________________________________________
Yourrelationshiptothecandidate___________________________________________________________________________________________
Pleaserankthecandidateineachofthecategoriesbelowbycirclingtheappropriatenumberforeachitem.
ThecandidatemustmailthisandallotherapplicationmaterialsonorbeforeFebruary11,2011.
RATING SCALE
Ratethecandidatecomparedtothetypicalstudentinyourschool.
4-Outstanding3-AboveAverage2-Average1-BelowAverage
•Leadershipinschool 4 3 2 1
•Leadershipincommunity 4 3 2 1
•Characterandintegrity 4 3 2 1
•Self-reliance 4 3 2 1
•Initiative 4 3 2 1
•Creativity 4 3 2 1
Iherebydeclarethattheaboveinformationisaccuratetothebestofmyknowledgeand/oropinion.
Signatureofpersoncompletingthisform______________________________________________________Date_________________________
THANKYOUFORYOURCOOPERATION.
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past scholarship winners2010 WINNERS
CaliforniaDaniellePappe–InyokernGeorgeCockerton–LakeportKaitlinHeinen–Eldridge
Iowa JenniferVong–DesMoinesAmelAbdiBare–DesMoinesRyanFrancois–DesMoinesJosephLampe–OsceolaBrentSexton–RockwellCityTaylorAnderson–StormLakeMaryRowley–UrbandaleDhrootiVyas–UrbandaleEmmalineWright–VilliscaJacklynEngelbart–AnamosaAdheshwariRamesh–CedarRapidsLukeDenlinger–DubuqueKristinCanning–LisbonKristenHora–RiversideAndrewRichter–WaterlooShanelWermerskirchen–WaterlooChantalKnepper–Williamsburg
Illinois JohnPatrickBrown–EastMolineNicoleWenger–FairburyKevinJohnson–RockIslandAmeliaMartens–OrionCourtneyDufford–StocktonKatelynBrozak–StreatorShawnaWagley–HerrinSamuelMartin–CartervilleJohnCross–MoundCity
Indiana DeborahOhiani-Jegede–Merrillville
Kansas KaitlinMeyer–LeroyNathaneilJohnson–BurlingameLoganButer–Albany
Michigan ShaneRussell–Mendon
Minnesota OliviaBlinn–CloquetMackenzieRein–CookBreannaWalker–GrandRapidsWiphawiSiriphatthanaphinyo–HutchinsonLindsaySummers–JanesvilleBethOchs–Franklin
Missouri LanaeFlatness–SpringfieldEmilyWhitmarsh–MountVernonMatthewNewman–JasperShelbyNoll–Salisbury
South Dakota RobertFrancis–BrookingsAnneParsley–Flandreau
WisconsinOliviaWedig–DarlingtonBrentMecikalski–FremontAlexanderSiemers–LaCrosse
2009 WINNERS
IowaEmilyAnderson–AnkenyErikaDavis–SigourneyEthanKilburg–MaquoketaHaleyStreff–UrbandaleJordanHutchens–DesMoinesJordanHarbaugh-Williams–WaterlooKalliHannam–MarshalltownMallorySturtz–NewtonMythiliPrabhu–AmesNathanBleadorn–WaverlyRaeannShimak–MasonCitySarahDooley–BettendorfSethNicholson–DikeShelbySieren–KeotaShelbyEaton–DubuqueSimoneRenault–ClintonToddLyon–ToledoTylerGustafson–SpiritLake
Illinois ErikaLawson–DavisGabrielleSpeybroeck–EastMolineGrantPierce–StocktonKaseyNelson–OttawaTaraVandygriff–RockIslandShiannPoshard–PontiacMalloryLivezey–CheonaBrittanyBroadwater–DwightCoreySharp–LexingtonKaraJohnson–PaxtonKayleeMcCollum–LouisvilleJodieLatham–OaklandNicholeRush–JacksonvilleMollyStice–JacksonvilleWyattTheodoreGard–MartinsvilleSarahOdle–MarionTaliKasser–Carbondale
IndianaKassidiVanAllen–KendallvilleMeghanSproch–AngolaIlaA.Jackson–WalkertonJessicaGoldsmith–SyracuseCrystalPearce–NorthJudson
Kansas AllysonSass–BaldwinCity
KentuckyErinOakley–CadizJordanHenson–Burkesville
Minnesota KatelinStrand–BloomingPrairie
MissouriZacharyBaughman–CarlJunctionClintDeNisco–Mr.VernonBradyChoat–SpringfieldDavidWaites–SpringfieldElizabethDarter–CaboolRobertPowers–ExcelsiorSpringsLoriBeitsch–ColumbiaLindseyBuschjost–JeffersonCityAlexTurner–ColumbiaVirajPatel–Caruthersville
South Dakota LindsayHieb–Brookings
Wisconsin HillaryHartley–SoldiersGroveMeganNeitzel–CampDouglas
2008 WINNERS
IowaAngelaMarquard–HamptonAnnaStatz–BooneBrianDarling–ToledoChloeDedic–MasonCityDakotaHoben–WapelloEmilyFelkner–CentervilleEthanGingerich–IowaCityIanMitchell–NewHamptinJacquilynErickson–HarlanJaredJohnson–CrestonJasmineChen–AmesJillMcFee–GrinnellJohnBuzynski–HudsonJohnSchulz–CedarRapidsJosephToale–SpencerJustinCullen–StormLakeKalliMartin–DubuqueMeganBalek–NewtonMichelleWallace–JohnsonMickaelStreicher–CedarFallsRobertHumble–EsthervilleSamuelWagner–DavenportSaraWise–DesMoinesShaziaDharssi–CedarRapidsTrevorJohnson–CedarRapids
Illinois FionaMcGowan–ChillicotheJacobKuban–GeneseoJeffLiles–LenaJoelSedlacko–StreatorMargaretModica–Lena
Minnesota AmandaImberg–DasselDonaldFahey-Ahrndt–NorwoodYoungAmericaElizabethTroolin–HermantownJonnicaNorell–St.PeterKaylaNygaard–CannonFallsMichaelJordan–Hibbing
South Dakota BenjaminKantack–BrookingsRachelRemund–Elkton
Wisconsin AbigailWedig–DarlingtonKelliFischer–Argyle
11
past scholarship winners2007 WINNERS
Iowa AlyssaBeatty–CharitonAshleyPetersen–DavenportEdwardOvery,Jr.–ManlyElizabethWalsh–CrestonEmilyRichards–DubuqueFarihaChowdhury–DavenportGabrielParker–Mt.VernonGreenBouzard–WaverlyHayleyNorton–TiptonHeidiWelsh–WilliamsburgJanelleVittetoe–WashingtonJaredGebol–NewHamptonJasonDavis–DavenportJenniferCompton–AmesJohnJessen–DesMoinesJohnKohorst–HarlanJordanKing–DavenportJoshuaStrief–SacCityKariMcCann–CrestonKellyWenman–CoralvilleKristinWilson–LoviliaLindsayStoll–SpiritLakeLisaGudenkauf–CedarRapidsNicoleStoll–CrestonPaulNelson–IowaCityRyanBudding–WiltonShreyaMadhavaram–CedarRapidsStephanieLeinen–DesMoinesTaylorSeemuth–IowaCityTylerMiller–Mt.PleasantVanessaShiu–IowaCityYouranYe–WestDesMoines
Illinois BrittneyKajdacsi–ColonaEvaHoffrichter–PontiacHeidiIsermann–StreatorLaurenMarshall–FairburyMatthewGonitzke–RockfordMelanieLindell–GenescoShannonFailia–KirklandSkylarKempel–LenaToddEpps–GibsonCity
Minnesota ChristinaMiles–VictoriaJeffreyBuchwitz–VirginiaJoelleElmer–WellsLauraJensen–NorwoodYoungAmericaLauraNorthrup–WaconiaMiaJohnson–Duluth
Wisconsin AngelaWalhovd–MaustonBrookeAnderson–IolaKaleeCrist–Darlington
2006 WINNERS
IowaAlexanderSalem–WestDesMoinesAmandaEikenberry–DesMoinesAmyXu–FortDodgeAndrewJennett–CrestonBrandonGoodman–BooneBrentMiller–RockwellCityCaitlinHerrnstadt–AmesCaitlinNiggemeyer–MaynardCalliFriesen–IowaFallsCatherineGardner–OttumwaChristinaSchiltz–CliveElizabethStaloch–OttumwaEmilyWarford–DesMoinesHeidiRamaeker–CrestonHungBui–DesMoinesJamesZhang–FortDodgeKarlaFisher–CrestonKathyrnHeiar–ManchesterKatieYourstone–UrbandaleKristinHanson–MasonCityLauraKuennen–NorthwoodMarisaErlandson–SpiritLakeMeganDeahr–HumboldtMeganSkinner–DesMoinesMeredithHobson–UrbandaleMeredithRitter–UrbandaleRobRomero–AltoonaSamanthaToole–DesMoinesSarahCramer–DesMoinesSarahSchlitter–GladbrookSpencerPflum–BurlingtonThomasGrooms–DesMoinesWhitneyCarson–Swisher
Illinois BriannaMartinez–LenaKatherineCain–EastDubuqueKathrynStaver–Galena
Minnesota AlissaJansen–StPeterBriannaFrey–HoytLakesBrittanyGentzler–PipestoneJamieKallestad–CloquetJohnWeitgenant–WorthingtonKelseyLoeger–PipestoneLauraEngman–MountainIronLauraValdmanis–PriorLakeLauraKloeckl–Arlington
South Dakota AllisonStruck–YanktonEmilyTschetter–BrookingsHannahAlsgaard–Yankton
Wisconsin JosephSteiner–PotosiMartinaLogan–Mauston
2005 WINNERS
IowaBenjaminOstrander–FortDodgeBlakeYocom–CharitonMeganSrinivas–FortDodgeBenjaminFranta–ElkaderKimberlyCessna–CedarFallsKathleenHession–IowaCityJessicaTekippe–ManchesterRachaelCox–AmesRyanMichel–ClintonDavidDrustrup–DesMoinesSarahGragg–WaukonHollyDrury–GladbrookAdamDeppe–MaquoketaRyanSnider–CliveJonathanScheller–MasonCityChristinaBunte–FortDodgeChelseaBurkhart–WoodwardNgocHo–DesMoinesNathanRiggle–DesMoinesEvanOlson–NewhallWillettaWaisath–KeokukBrettJones–AnkenyKaylaAllison–EddyvilleSuzanneDroste–WaterlooKathrynLown–PleasantHillSamuelJohnson–Creston
Illinois LisaWong–StreamwoodMickenzieWade–CartervilleStevenWilliams–SalemTaylorHahn–SalemAnastasiaYanchilina–ArlingtonHeightsJessicaTempleman–GeffAshleyChapman–JohnstonCityJacalynCeglinski–AshleyLaurenMason–Carterville
Minnesota LeannaMarking–GrandRapidsNicoleJackson–ChanhassenKarmelaSunell–GrandRapidsKevinTroy–EaganStephanieGadow–PriorLakeJeremiahWala–Waseca
South Dakota HeatherBossert–AberdeenNicholeTaylor–RapidCitySaraHieb–BrandonMeganRieck–WarnerReeceAlmond–HuronRachelFuhrman–CanistotaSaraMcGirr–Huron
Wisconsin JeremyPingel–CatoTracyHansen–Allenton
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