PANTHER PRIDE FOUNDATION SCHOLARSHIP APPLICATION

2014-2015

Last Name Click here to enter text.First Name Click here to enter text.

Address Click here to enter text.CityClick here to enter text.

Birthdate Click here to enter text.Home PhoneClick here to enter text.

☐Male ☐Female

Please check the scholarship(s) you are applying for:

☐Panther Pride Scholarship – 4-year college/university

☐Panther Pride Scholarship - 2-year college or vocational school

☐Sherrick Scholarship

☐Rosemary Faulkner Scholarship

☐Lions Club Scholarships

☐Farmers State Bank of Camp Point Scholarship additional essay required

☐Janssen Seed and Services Scholarships

☐Eva Balk Memorial Scholarships

☐Heubner #21 Scholarships(male & female)additional essay required

☐Cory Wilkey Scholarship additional essay required

☐Nielsen-Bohn Math/Science Scholarshipadditional essay required

☐Higley Memorial Scholarship

☐Reuschel Family Education Scholarshipadditional essay required

The following must be attached to this application:

☐Transcript of grades from Central High School

☐Letter of acceptance from college/university/vocational school

☐Letter of recommendation from one of the following: Principal, Counselor or Teacher

☐Personal letter listing reasons why you are applying and your plans for the future

☐Additionalessays are required for Farmers State Bank Scholarship, Heubner #21 Scholarships, Cory Wilkey Scholarship, Nielsen-Bohn Math/Science Scholarship, and Reuschel Family Education Scholarship

Incomplete applications will not be considered

All applications must be completed and returned to Guidance OfficebyMARCH 13, 2015!

(Application Page 1)

Test Scores

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SAT Click here to enter text. DateClick here to enter text.

Employment experiences

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Academic Awards and Honors:

Academic Award or Honor / Date received
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Extra-curricular activities and/or school offices:

Extra-curricular activity and/or school office held / Year participated
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(Application Page 2)