Treynor Local Scholarship Application

Due date in the Counselor’s Office: March 12

Background Information

Name Address

Phone Birthdate

Month Date Year

Names and ages of brothers and sisters. Please indicate whether any brothers or sisters either have or are

attending college.

Names of Brothers/ Sisters / Age / In college
Yes or No? / If in college, college that sibling is attending / Graduated from college? Yes or No?

School and Community Information

Class Rank Number in the Class ACT or SAT composite

Grade Point Average

Please place an X beside each local scholarship for which you are applying. Note any special requirements to the right of the scholarship.

Applying ? / Name of Scholarship / Special Requirements
Amber Star Memorial Scholarship
Dustin Bryant Memorial Scholarship
Haack Family Scholarship
Junior Treynor Women Scholarship / Boys and Girls may apply
P.E.O Chapter OZ Treynor Scholarship (Girls Only) / In addition to the Treynor local application, you must complete the PEO Essay.
Shari Nielsen Memorial Scholarship
Treynor American Legion Post 725 Scholarship / Personal Interview for Finalists
Treynor Optimist Club Scholarship
Treynor Music Booster Scholarship / Must be planning to continue music activities in college
Trent Collins Memorial Scholarship / Field of study: medical or computer science
Vorthmann Early Childhood Scholarship / Upper 50% of class; 4 semesters of FCS classes including either early childhood or child development


Please list co-curricular activities that you have been involved with in school during the past four years.

ACTIVITY

/ FR / SO / JR / SR / ACCOMPLISHMENTS

List all community and church activities you have participated in and the year(s) you were active:

ACTIVITY

/ JH / FR / SO / JR / SR

Employment Record (if any)

Employer / Year(s) Employed / Supervisor

List any special awards and recognition that you have received in high school either in school or in your community/church activities:

State in your own words how you feel your high school career has prepared you for a

course of study at college, university, or other form of higher education:


Goals and Aspirations

Name(s) of the colleges/post-secondary schools you wish to attend:

Course of study you wish to pursue:

What activities do you intend to become involved in at your chosen college?

Financial Information

Have you completed the FAFSA?

If yes and if you feel comfortable about it, please list your Expected Family Contribution (EFC) from

the FAFSA: (If you did not complete the FAFSA, please enter NA for Not Available)

What have you already done to prepare yourself for financing your future education?


References

You are encouraged to submit sealed letters of reference to the school counselor with this application (no more than two). Please have the person writing the letter explain their relationship to you.

Transcript

Please attach a high school transcript . Please mark a CC by classes that you have taken or are taking for college credit.

Reflection

Tell about the most meaningful experience you have had in grades K-12. This experience can be one that happened at Treynor or one that happened at a previous school that you might have attended.

In submitting this Application, I understand the information contained herein will be treated confidentially and will be shared with those people responsible for determining the beneficiaries of the scholarships, awards, grants and loans listed with this Application. The information I have furnished is true and correct to the best of my knowledge and belief.

Signature of Applicant______Date______