2014 KLEA SHIPMAN SCHOLARSHIP

Presented By

TRINITY UNITED METHODIST CHURCH

Waverly, Iowa

Trinity United Methodist Church, Waverly, Iowa, is offering scholarships to high school seniors who will graduate from a Bremer County high school and/or other Bremer
County residents who plan to further their post-secondary education. Those persons who exhibit a dedication to service will be given preference in the scholarship selection process. Other factors are financial need, past community and church activities as well as academic achievements.

To apply, complete this application form and return it to Trinity United Methodist Church, Klea Shipman Scholarship Committee, 1400 W. Bremer Avenue, Waverly, Iowa 50677 by March 31, 2014. The scholarship will be paid directly to the college of the applicant’s choice before the beginning of the Fall 2014 semester.

Applicant should demonstrate his/her ability to perform academically in an institution of higher learning, demonstrate his/her involvement in community service beyond school activities, and show leadership and moral character.

NAME: ______Parent’s Name: ______
Home Address: ______

(street)(city)(state)(zip)

Telephone: ______Email address: ______

High School Attended: ______Graduation Date: ______

Highest Level of Education Achieved: ______Grade Point Average: ______

What college do you plan to attend? ______

Have you been accepted? ______Your intended major: ______

Describe any volunteer work/community service you have performed:

______

______

______

List your school activities (leadership, offices held & awards, etc.):

______

______

______
______

Klea Shipman Scholarship Application: Page 2

List your out-of-school activities (such as church, 4-H, work, etc., also list offices held or awards received):

______

______
______

______

______

Describe how you see yourself involved in community service as an adult, stating career goals (200 words or more) (Submit on separate sheet of paper and attach to this application.)

Write a biographical sketchof yourself and include what you consider your strengths and why. (200 words or more) (Submit on a separate sheet of paper and attach to this application.)

How do you expect to finance your education?

__ Loans___Academic Scholarships __Work ___Savings

___Assistance from parents ___Athletic Scholarships __Financial Aid

How much money do you presently have available towards your education? $______

What was your gross income last year?

____$ 0-$1,000____$1,000 - $5,000____$5,000-$10,000___Over $10,000

Please provide three letters of reference from teachers, ministers, counselors, employer, etc. in a sealed envelope along with this application. If reapplying, you need only a letter of recommendation from the school you attend.

I attest that the information provided in this application is accurate to the best of my knowledge

______Date: ______

Applicant Signature

Mail to:

Klea Shipman Scholarship Committee

Trinity United Methodist Church

1400 West Bremer Avenue

Waverly, Iowa 50677