Allegan County Area Technical & Education Center
Math & Science Scholarship Application
A Scholarship Fund of the Allegan County Community Foundation
The Perrigo Company funds two $500 scholarships annually in support of Allegan County Area Technical & Education Center students who intend to pursue an education in Math or Science. The scholarship is to be used to defray college costs (tuition, books, room/board) in the student’s freshman year. Scholars will be selected based on academic achievement, extracurricular activities/community service, technical achievement and staff recommendation. This scholarship is not renewable.
Eligibility
§ Applicants must be a graduating senior currently enrolled in an Allegan County Technical & Education program with a minimum 3.0 Tech Center GPA.
§ Applicant must plan to attend post-secondary college or training at a Michigan private or public community/junior college, a four-year degree granting institution, or a vocational training institution that grants a degree, certification or license.
§ Applicant must major in an applied math or science related program.
Obtain the application from the Allegan County Community Foundation website www.alleganfoundation.org or send a request to
Allegan County Area Technical & Education Center
Math & Science Scholarship
Check list/instructions
Contact the Allegan County Community Foundation
(269.673.8344 or ) with any questions
o TYPED: The application must be typed.
o TRANSCRIPTS: Include 1 (one) copy of your high school transcripts (obtained directly from your school counselor with signature and seal). Include your college transcripts if you have taken college courses.
o RECOMMENDATION: Complete the top portion of the staff recommendation form (page 5) and give it to your Tech Center teacher by February 28, 2014.
o PAGE IDENTIFIER: Enter the last 4 digits of your social security number on each page of the application. Your name should appear only on the application cover sheet and the Staff Recommendation form. (The Review Committee will not see any applicant names on the documents they review.)
o SIGNATURE: Sign the application prior to submitting.
o COPIES: Submit 4 (four) copies, of your completed Tech Center application (beginning with page 2) (one original and 3 copies). The Tech Center Office will provide access to their copy machine if you contact them in a timely manner to set up an appointment for making copies. Do not staple the applications; paper clips or clamps may be used. No binders or folders should be submitted.
Completed applications must be in the
Tech Center’s Main Office March 13, 2014.
(Late, incomplete or email applications will not be considered)
Allegan County Area Tech & Education Center
Math & Science Scholarship Application
A scholarship fund of the Allegan County Community Foundation
2014 SCHOLARSHIP COVER SHEET
Application must be typed and signed. To download application from website, go to the scholarship page of: www.alleganfoundation.org. To request by email, send request to .
APPLICANT INFORMATION
Name: (last, first, middle)
Last four digits of your social security number:
Permanent Address: (street, city, zip)
Telephone: Cell Phone #:
Email address:
Male: Female:
I certify that all the statements and information provided in this application are true, complete and correct to the best of my knowledge.
______
Signature Date
Name of the Tech School teacher you gave the Staff Recommendation form to:
______Date: ______
Note: No distributions will be made from a scholarship fund if such distribution will, in the judgment of the Allegan County Community Foundation Board of Trustees, endanger the Foundation's Code section 501 (c) 3.
Last four digits of social security number:
High School attending:
Tech Center Program(s):
Schools under consideration: (1)
(2)
Acceptance Status - school #1: ( ) Accepted ( ) Pending ( ) Enrolled
Acceptance Status - school #2: ( ) Accepted ( ) Pending ( ) Enrolled
Curriculum you intend to major in:
Describe how your schooling will be paid for?
Provide a brief essay explaining your future goals and plans. Please include how the skills you have acquired and the Capstone/work based learning experiences you have had at the Tech Center will help you attain those goals. Use an additional page if necessary but limit your answer to one page.
TIPS: 1). You are competing for a scholarship! Use the space you are allowed – the more we know about you, the better. 2). Proof your essay for grammar or spelling errors.
START NEW PAGE – DO NOT ALLOW ESSAY TO OVERLAP THIS PAGE.
Last four digits of social security number:
Please provide the following information.
1. Extracurricular & Community Service - List your participation and/or membership in school-related, extra-curricular groups (clubs, student government, band, sports, church, etc.), and community service. Include the leadership positions held, the approximate number of hours you participated and when you participated.
Activity or organization / Position/Task / Hours / How Often / Grade/WhenExamples:
Choir / Participant / 8 hours per wk / 25 weeks / 10,11,12
Red Cross / Blood Drive / 3 hours each time / Two times / March 2011 & 2012
Tennis Team / participant / 10+ hours per wk / 12 weeks / 9,10,11
Tennis Team / Captain / 12+ hours per wk / 12 weeks / 12
------/ ------/ ------/ ------/ ------
Last four digits of social security number:
2. List any work experience you may have. Include employer, job responsibilities, dates of employment and approximate number of hours worked per week.
Employer / Responsibilities / Dates of Employment / Hours workedper week
EXAMPLE: Meijers / Cashier / 2/13/2012 – 9/1/2013 / 4-6
------/ ------/ ------/ ------
3. List any awards, honors or special recognition you have received.
4. List all technical skills, Capstone/work based learning experiences and achievements attained at the Tech Center (e.g. projects, competitions, specific skills, etc.)
Perrigo Math & Science Scholarship
Staff Recommendation Form
Student Section (to be completed by the student requesting the recommendation)
Student Name: Date:
Teacher Name:
Give this form to your teacher by March 5, 2014 so they have time to complete it. Your application will not be considered without this completed form. Your teacher will turn the form in to the Tech Center Officer where it will be matched with your application.
Teacher Section
Staff Member Name: Date:
Thank you for supporting your student in their quest to obtain a scholarship to further their education.
This recommendation form needs to completed and returned to the Allegan County Area Technical & Education Center main office no later than Wednesday March 12, 2014.
Your completion of this form is required for your student to be considered for the scholarship which is due March 13th.
If you have any questions please contact Lee Wittkop at the Allegan County Community Foundation (269.673.8344) or Linda Blankenship, Director/Principal of the Allegan Area Technical & Education Center (673.3121 x 3890).
Please rate this student in the following categories (1 is the lowest rating):
Technical Skills
/Honesty
/Responsibility
/Scholarship
/Citizenship
/Leadership
/Total
(1-20) / (2-5) / (1-5) / (1-10) / (1-5) / (1-5) / (1-50)Comments (you may use the back side of this form or attach another page):
1
2014 Tech Center Scholarship Application