The Bellator Titans Motorcycle Club is excited to announce the availability of a scholarship to an applicant who is in need of financial assistance. This is the first year we are able to present this scholarship and are looking for high school seniors who will be freshmen at any post-secondary intuition of higher learning. Applicants need to plan to attend an in-state post-secondary school in order to apply for the scholarship. Applicant does not need to be top of their class, but the committee is searching for students who are hardworking and motivated to succeed.

Eligibility Requirements

 South Dakota resident

 A Senior going into their first year of post-secondary education in South Dakota

 Financial Need

 Application must be received by March 31st, 2015

Required Documents

 Scholarship Application

 Photo

 Essay Question

 Letter of Recommendation

Attached please find the scholarship application form which can be reproduced. There will be one scholarship in the amount of $500 awarded to an eligible individual for the year of 2015.

Applications are due by March 31st, 2015 and should be returned to:

BTMC Scholarship Committee

Attention Bryon Farmer

PO Box 734

Crooks SD, 57020

Bellator Titans MC Scholarship Application

Application Information

Name
Street Address
City ST ZIP Code
Home Phone
Cell Phone
E-Mail Address

Family Information

Father’s Name:______Occupation:______

Mother’s Name:______Occupation:______

Education

Current High School Information

Name: ______City: ______State: ______Zip______

GPA (4.0 Scale):______Class Rank: ______

Principal Name: ______Counselor Name:______

School Planning to Attend

Name: ______Area of Study: ______

Address: ______City: ______State: ______Zip______

Essay Question: (500 Words) please select one question to answer on separate page.

  1. Please describe a time in your life in which you had to overcome adversity.
  2. Please explain how your life experiences have prepared you for life after high school.
  3. Who has been an influential person in your life and why?

Extracurricular Activities and Hobbies

Please list the extracurricular activities you have been involved in during your high school career and hobbies you actively participate in.

Volunteer Experience

Summarize your volunteer and/or charity experience

Reference Information (Please attach Letter of Recommendation, or have Reference send to address)

Name / Email Address / Relationship To Student / Phone

Agreement and Signature

By submitting an entry for the Bellator Titans MC Scholarship, I certify that the statements contained inthis application packet are true, accurate and complete. I understand and agree that any scholarship funds received will be distributed directly to my post-secondary institution upon verification of enrollment.I also agree that this entry becomes the property of Bellator Titans MC, and my name be released to the public andnews media.

Name (printed)
Signature
Date

Details

Required Materials: Photo of Applicant

Letter of Recommendation

Essay Answer

Application Deadline: March 31st, 2015

Send Applications to: BTMC Scholarship Committee

Attention: Bryon Farmer

PO Box 734

Crooks SD, 57020

Thank you for completing this application. The Bellator Titans MC are dedicated to our local communities and area students. We are a charity motorcycle club and participate in raising money by hosting and participating in poker runs for various charities, and volunteering our time for our communities. For more information please contact Bryon Farmer at 605-595-4185