Deadline: Tuesday, March 26 at 3:00 P.M. to HS Office

Deadline: Tuesday, March 26 at 3:00 p.m. to HS Office

NEW BREMEN EDUCATION FOUNDATION

Scholarship Application

Part I

Name

Address

Age Date of Birth Telephone

Parent's Name

Number of brothers and sisters living at home

GPA Class Rank in a class of

Name of college, university or technical school you plan to attend:

Major Field of Study:

How serious are you about obtaining a degree in this specific field of study? Please explain.

Please describe your educational plans as they relate to your career objective and goals.

Part II

The above named applicant is applying for the scholarships indicated below, as well as any additional scholarships in which he/she meets the specified requirements.

Please check those scholarships that apply to you. The requirements are mentioned behind each scholarship name in parenthesis.

N-B Education Foundation Related Scholarships with Specific Requirements:
1. / Schwieterman (Scholastic Achievement) / 13. / Reuben E. & Leola A. Wissman (Financial Need)
2. / Komminsk Family (Major in Liberal Arts, Visual/ Performing Arts, Environmental, or Fine Arts) / 14. / N-B Road Runners (Minimum of 2 years participation
in Cross Country)
3. / Becky Koenig Memorial (Female – Major in Educ.,
Engineering, or Architecture and in Spanish IV) / 15. / Nicholas Piper Memorial (Athlete/ Demonstrate Leadership/ Member of FFA/ Male)
4. / Dave & Marie Anthony (Major in Nursing) / 16. / Lorna Piper Memorial (Athlete/ Demonstrate Leadership/ Member of FFA/ Female)
5. / First National Bank (Major in Finance,
Accounting or Education)
17. / Charles Mesloh Memorial (Avid, Dedicated Scholar)
6. / Minster Bank (Major in Business/Banking -
and have a 3.0 GPA)
18. / N-B Sons of American Legion (Son/Daughter of Amer. Legion Member) Member’s Name
7. / Marie & Wilbur Strasburg Memorial
(Majorin Agriculture)
19. / Jane Koenig Memorial (Major in Special Education,
Reg. Education, and/or be a Special Ed. Student)
8. / Alvera & Alton Schelper Memorial
(Major in Business and have a 3.0 GPA)
20. / Frank L. & Helen P. Herkenhoff Scholarship
(Engineering Tech Major)
9. / Marie Braun Steiner & Robert Braun (In top ½ of
class/ Financial Need/ Living with only 1 parent)
21. / Woodman of the World (2.5 GPA)
10. / Minster McDonald's (Employee of McDonald's) / 22. / Eudine H. Waterman Scholarship (Financial Need)
11. / Steven & Opal Jagoditz (3.25 GPA/ Financial Need/ Good Citizenship)
23. / Oscar Dicke Scholarship (Major in Educaiton)
12. / Casey Hoelscher Memorial (Financial Need) / 23. / Tender Loving Care OCCL and New Bremen Pumpkin Growers Scholarship (Child or Grandchild of Active Member of Tender Loving Care – OCCL)
Local Scholarships Unrelated to N-B Foundation: / 5. / NBHS Student Council (Student Council Member)
1. / Leona Laut Scholarship (Valedictorian) / 4. / NB/ NK Rotary WSU-Lake (Strong Community Service/ Must attend WSU-LC/ Pref. to Student w/Relative in Rotary) Member’s Name
2. / NBTA (General) / 5. / JTDHospital Foundation (Major in Health Care)
3. / NB/ NK Rotary (Scholastic Achievement/ Community Service/ Pref. to student with relative in Rotary)Member’s Name / 6. / H. A. Schrage Trust (Scholastic/ Financial Need)

Part III.

I have participated in the following extracurricular activities while a student at NewBremenHigh School:

Hrs. Per Hrs. Per

Week or Year Week or Year (please indicate which) (please indicate which)

(During Season)

Band9101112Football91011 12

Flag Corp9101112Cross Country910 11 12

Pep Band9101112 Volleyball91011 12

Choir9101112Golf9101112

FFA9101112Basketball910 11 12

FCCLA9101112Swimming91011 12

Yearbook9101112Baseball 91011 12

Student Council9101112Softball9101112

Class Officer9101112 Track 9 10 11 12

Scholastic Team9101112Cheerleader910 11 12

NHS9101112Athletic Manager910 11 12

Drama Club9101112 Athletic Trainer91011 12

Cafeteria Asst.9101112 Athletic Statistician910 11 12

Spanish Club9101112 9 10 11 12

Student Aide9101112 9 10 11 12

9101112

9 101112

I have participated in the following community activities:

Hrs. Per Hrs. Per

Week or Year Week or Year

(please indicate which) (please indicate which)

9101112 9 10 11 12

9101112 9 10 11 12

9101112 9 10 11 12

9101112 9 10 11 12

Please list the offices/leadership positions you have held (from school and community activities):

Please list any honors or awards received (from school and community activities):

Please list your current class schedule:

Please list your work experience. Please include where and when you were employed, your position, the number of hours per week you have averaged, and why (if applicable) your employment ended.

(Example:. Wendy’s - January 2013 to March 2013 - Cashier - 10 hours per week - Track Season Began)

Do you plan on working while you are attending college?

Part IV

1. Please describe a personal project or team objective that you accomplished and what you learned from it.

2. Please explain why you believe you are a deserving candidate for a scholarship.

3. What are your anticipated expenses for college?

Annual Tuition (tuition per year) / Housing Costs (Room) / Meal Plan (Board) / Books & Supplies / Other

4. Why did you choose this college?

Part V

Have you filed a state or federal financial aid form?

Are you receiving any scholarships, tuition equalization, grant money, etc. from any other sources?

If so, please list:

Scholarship / Grant Amount

$
$

NOTE: A transcript will be added to this application for review by the selection committee.

______

Student Signature Date