PHEASANT HEAVEN CHARITIES, INC.

$1,000.00

VOCATIONAL SCHOLARSHIP APPLICATION

Students applying for this vocational scholarship must be seniors at an area high school within fifty miles of Hugoton, Kansas. A certified high school transcript shall be provided with this application.

A specific GPA is NOT required to apply for the vocational scholarship.

Scholarship funds will be awarded upon successful completion of the student’s first semester of full time attendance at a vocational school. Verification of this information (an official transcript OR a letter from school’s registrar stating student’s status in chosen program) and a copy of the 2nd semester schedule will be required.

The scholarship may be used for educational expenses (books, tuition, and/or housing) in attending any vocational school. Recipients must take courses at the location of the vocational institution of their choice. Questions: Call Mrs. Gerrond at 620-544-3075.

Scholarship deadline is APRIL 1. Return application to:

Pheasant Heaven Charities, Inc. Scholarship Committee

c/o Theresa Gerrond

1102 South Monroe

Hugoton, KS 67951

REAPPLYING FOR THE SCHOLARSHIP

If you receive this scholarship as a graduating high school senior, you may reapply for another scholarship after your first year of vocational school. You will be given a renewal application when you receive your check at midterm. If you lose it, you may contact Mr. Brad Musgrove at P.O. Box 308, Hugoton, Kansas, 67951, or go to www.pheasantheavencharities.com to obtain the reapplication form before June 1. The completed form shall be returned to Mrs. Theresa Gerrond by July 15, each year at the address on the scholarship form.

Page 1

Revised 12/08/14

Vocational Scholarship Application

*Please complete and mail in this page of the form

1.  Your Full Name ______

2.  Your Permanent Address ______

Street City ST ZIP

3.  Father’s Full Name ______

4.  Father’s Occupation ______

5.  Mother’s Full Name ______

6.  Mother’s Occupation ______

7.  Parents’ or Guardians’ Full Address ______

8.  Number of brothers and sisters at home ______

9.  Number of siblings presently attending post-secondary school ______

10.  Name of school you plan to attend ______

11.  Program of interest ______

12.  Phone numbers Home: ______Cell: ______

13.  Email address: ______

Please attach: 1) an official transcript which has been signed by a school official and embossed, 2) a one page resume* which provides information to assist the scholarship committee in making its selection, 3) a brief typed statement discussing why you should be considered for this scholarship and what your future plans are (this statement should not exceed one double-spaced page), and 4) three letters of reference.

*Your resume should include honors received, activities participated in while in high school, any organizations (school, church, or community) with which you were involved, work experience, and references, with full addresses and phone numbers. Resumes longer than one page will be discarded.

*Failure to provide all of these will void this application.

Recipients of scholarships are chosen by the scholarship committee, which is appointed by Pheasant Heaven Charities, Inc. Board of Directors. Items considered are citizenship, character, and the ability to benefit from continued education. This scholarship is awarded on the information reflected within the application.

Note: All information should have correct grammar, spelling, etc.

All applications are due by APRIL 1st.

All applications must be on this form.

Page 2

Revised 12/08/14