FirstName / LastName / HomePhone
HomeAddress / City / State / Zip Code
Countyof Residence / Gender / SchoolName
Email Address
SECTIONTWO:STUDENT CERTIFICATIONPleaseRespondtoAllQuestions
1.Iwillbeafull‐timecollegestudentinFallof2017.YESNO
2.AtthetimeofapplicationIamcurrentlya:HighSchoolSeniorCollegeSophomore
CollegeFreshmanCollegeJunior
3.Iintendtoreceivemydegreefroma:
4.ThehighestundergraduatedegreeIintendtoTwoYearDegreeVoc./TechDegree
seek:
FourYearDegree
5.Iintendformymajorfieldofstudytobe:
6.ThecollegeIplantoattendinFall2017:
SECTIONTHREE:REQUIREDFORALLSCHOLARSHIPSPleaseProvideAllInformation
“Iherebycertifythatallacademicinformationsubmittedonthisapplicationbytheapplicantistrueandcorrecttothebestofmyknowledge.”
HighSchoolPrincipal/GuidanceCounselorNameHighSchoolPrincipal/GuidanceCounselorSignature
(PleasePrint)(Required)
"Icertifythattheinformationonthisapplicationistruecorrecttothebestofmyknowledgeasevidencedbythesesignatures.IunderstandthatallinformationcontainedonthisapplicationissubjecttoverificationbytheMonroeCountyRepublicanScholarshipCommitteeandthatfalseinformationwillleadtodisqualification."
ApplicantSignatureDate
Parent/GuardianSignatureDate
(Parent/Guardiansignaturerequiredonly ifapplicantisunder 21 orclaimed asa dependent.)
(*Collegeapplicants donot needprincipal/guidance counselor signatures.)
SECTIONFOUR:ACADEMICACHIEVEMENT(10PointsPossible)
Rank:Thisapplicant’sclassrankisinaseniorclassofstudents.
GPA:CumulativeGPAofona4.0scale.
SECTIONFIVE:SCHOOLACTIVITIES(10PointsPossible)
Activity(oneperline)Year
1
2
3
4
5
6
SECTIONSIX:COMMUNITYACTIVITIES(10PointsPossible)
Activity(oneperline)Year
1
2
3
4
5
6
SECTIONSEVEN:STUDENTCERTIFICATION(20PointsPossible)
1.IattendedaRepublicandinner or walkedinaparade for the Republican Party or a Republican candidate.
2.IhavevolunteeredtoworkforaRepublicancandidateorparty. / YESNO
YESNO
*Ifyes,pleaseprovideareferenceandcontactinfo:
SECTIONEIGHT:ESSAY(60PointsPossible)
Pleaseanswerthefollowingquestionin350wordsorless.Submissionsmustfollowallrules.
“President Trump won the recent presidential election by having the most Electoral College votes. However, he did not win the popular vote. Should the United States continue to elect the president by Electoral College vote as we do today, or should we change how we elect our presidents to make it dependent on winning the popular vote. Give a justification for your answer and explain why the Electoral College was established.“
SECTIONNINE:RULES ANDGENERALINFORMATION
1.TheMonroeCountyRepublicanCentralCommitteeScholarshipisopentoallMonroeCountyresidentswhoarehighschoolseniorsorfull‐timeundergraduatecollegestudents.
2.Studentsmaybeenrolledinpublic,private,religious,orhomeschools.
3.AllentriesmustbesubmittedbeforeWednesday, March 15, 2017.Onlyentriessubmittedduringthistimeshallbeaccepted.
4.Applicationmaterialsconsistofaninformationalapplication,typewrittenessay,andanofficialtranscript.Theessayshallbe350wordsorless.
Thetopicoftheessayis: “President Trump won the recent presidential election by having the most Electoral College votes. However, he did not win the popular vote. Should the United States continue to elect the president by Electoral College vote as we do today, or should we change how we elect our presidents to make it dependent on winning the popular vote. Give a justification for your answer and explain why the Electoral College was established.“
5.AllentriesshallbeaddressedtoScholarshipEntry,MonroeCountyRepublicansScholarshipCommittee, and P.O.Box161,Waterloo,IL62298.Onlytypedentrieswillbeaccepted.
6.Theentryshallbethesole,originalworkoftheapplicant.
7.Qualifiedessaysshallbejudgedaccordingtothefollowingcriteria:
a.Developmentandaccuracyofcontent
b.Useofcreative,unique,andthought‐provokingelements
c.Adherencetothetopic
d.Properspellingandgrammar
8.Noentrysubmittedwillbereturned.
9.Onlyoneentryshallbejudgedfromeachapplicant.Multipleentrieswillnotbeaccepted.Onlythefirstentry(inthecaseofmultipleentries)receivedfromanapplicantwillbereviewed.
10.TheapplicantgrantstheMonroeCountyRepublicanCentralCommitteefirstpublicationrightsofhis/heressay.Afterpublicationortwelvemonthsafterthewinnersareannounced,allrightsreverttotheauthor.
11.Applicantswillinitiallybejudgedbaseduponacombinationoftheiressayandtheirregistrationmaterials.Allinitialentrieswillbejudgedbaseduponananonymousbasis.Amaximumofthetopfive(5)applicantswillberequestedtoattendaninterviewbeforethescholarshipcommittee.
12.Atleastoneapplicantwillbeawardeda$750scholarship.
13.ApplicantsandtheirfamilyshouldbeabletoattendthepresentationeventonApril5, 2017wherethewinner willbeannounced.ThiseventwillbeattheTurnerHallinColumbia.
14.Entrantsmustsubmitacompletedapplicationform,typewrittenessay,andanofficialtranscripttobeconsidered.
ATTENTION:Monroe County Students!
WHAT:Applications are nowavailable forthe 2017 Monroe County Central CommitteeScholarship.
ELIGIBILITY: Monroe County residentswho are highschoolseniors orfull‐time college undergraduatesenrolledin public,private, religious, orhomeschools andare UnitedStatesCitizens.
AMOUNT:One ‐ $750Scholarship
DEADLINE:All submissionsmust bepost marked byWednesday, March 15, 2017.
MAILAPPLICATION TO:
ScholarshipEntry
MonroeCountyRepublicansScholarship Committee
P.O.Box 161, Waterloo,Illinois 62298
SEE ATTACHEDRULES APPLICATION FOR FURTHER DETAILS!
Monroe County G.O.P. Monroe County Young RepublicansPartners in Shaping America’s Future...Today!